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AAPC CPC Exam - Topic 3 Question 43 Discussion

Actual exam question for AAPC's CPC exam
Question #: 43
Topic #: 3
[All CPC Questions]

A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of the patient and starts continuous bronchodilator therapy and pharmacologic support with cardiovascular monitoring and possible mechanical ventilation support.

What is the E/M code for this encounter?

Show Suggested Answer Hide Answer
Suggested Answer: A

29827: Arthroscopic rotator cuff repair is correctly coded as 29827.

29828: Arthroscopic biceps tenodesis is an additional procedure and should be coded as 29828 with modifier -51 (Multiple Procedures).

29824: Arthroscopic claviculectomy (partial resection of the distal clavicle) is coded as 29824 with modifier -51.

29826: Arthroscopic subacromial decompression, including coracoacromial ligament release, is coded as 29826.

All these procedures were performed arthroscopically and documented in the operative report, justifying the use of these codes and the use of modifier -51 for multiple procedures.


CPT Professional Edition, AMA

Contribute your Thoughts:

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Maddie
3 months ago
Surprised they didn't go straight to mechanical ventilation!
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Lashandra
3 months ago
I thought 99291 was for more intensive monitoring.
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Arlen
3 months ago
Wait, isn't 99475 for pediatric patients?
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Fernanda
4 months ago
I agree, 99285 fits for that level of care.
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Gracia
4 months ago
Sounds like a critical situation, definitely 99285.
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Salome
4 months ago
I’m leaning towards 99291 because it seems to fit the critical care aspect, but I’m not entirely confident about the details of the codes.
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Daniel
4 months ago
I feel like 99475 is related to pediatric patients, but I don't remember if it applies here since the child is critically ill.
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My
4 months ago
I remember practicing a similar question, and I think 99285 is for emergency department visits, but I can't recall the specifics for PICU admissions.
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Lenny
5 months ago
I think this might be a critical care code since the child is in respiratory failure, but I'm not sure if it's 99291 or something else.
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Bo
5 months ago
I feel pretty confident about this one. The patient is in the PICU, requiring advanced respiratory support and cardiovascular monitoring, so 99291 is the most appropriate E/M code for this encounter.
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Kimi
5 months ago
Based on the information provided, I'm leaning towards 99291 as the correct code. The patient is in the PICU and requires continuous monitoring and potential mechanical ventilation, which seems to fit that code description.
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Carissa
5 months ago
I'm a bit confused on the difference between some of these codes. 99285 and 99291 both seem like they could apply, but I'm not sure which one is more appropriate.
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Sena
5 months ago
Okay, let's see. The patient is a critically ill 4-year-old in the PICU with respiratory failure from an asthma exacerbation. I think the key is identifying the appropriate level of care.
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Vallie
5 months ago
Hmm, this seems like a tricky one. I'll need to carefully review the details of the case and the E/M code options.
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Barney
10 months ago
Wait, are we coding for the patient or the PICU provider's headache from this tricky question?
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Kaycee
8 months ago
C) 99291
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Layla
9 months ago
B) 99475
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Elly
9 months ago
A) 99285
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Theodora
10 months ago
I'm going with B) 99475. The patient is a 4-year-old, and this code is for the subsequent hospital care of a critically ill child.
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Viki
9 months ago
C: I agree with B, 99291 seems to be the most appropriate code for this encounter.
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Gilma
9 months ago
A: Let's double check the documentation to make sure we are selecting the right code.
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Leanora
9 months ago
A: Oh, I see. I thought it was for initial hospital care, but you're right.
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Yuonne
9 months ago
B: I believe it's C) 99291, which is for critical care provided in the PICU.
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Felicia
9 months ago
B: I disagree, I believe it is C) 99291.
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Maurine
9 months ago
A: I think the correct E/M code is A) 99285.
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Laurel
10 months ago
A: I think the correct E/M code is A) 99285. It's for the critical care of a critically ill or injured patient.
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Rebbecca
10 months ago
D) 99471 sounds right to me. The child is a pediatric patient, and this code is for the initial hospital care of a critically ill child.
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Owen
10 months ago
Hmm, I'm not sure. This question is really making my head spin! Maybe I should have paid more attention in class.
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Susana
10 months ago
B) 99475
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Weldon
10 months ago
A) 99285
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Salome
10 months ago
I think the correct answer is C) 99291. This code represents the critical care services provided to the critically ill child in the PICU.
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Lynna
11 months ago
I'm not sure, but I think it might be 99475 because of the critical care involved in this case.
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Deangelo
11 months ago
I agree with Alise, 99285 seems like the correct code for this scenario.
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Alise
11 months ago
I think the E/M code for this encounter is 99285.
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