AAPC CPC Exam - Topic 6 Question 45 Discussion

Actual exam question for AAPC's CPC exam

Question #: 45
Topic #: 6

[All CPC Questions]

Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.

What CPT codes are reported for this surgery?

A67314, 67334

B67316, 67335

C67312, 67335

D67311, 67334

Show Suggested Answer

Suggested Answer: A

Esotropia of the right eye: Indicates strabismus surgery is required.

Resection of medial rectus horizontal and lateral rectus muscles: Specific muscles addressed during the surgery.

Adjustable sutures: Used in securing the muscles, indicating specific techniques.

Extensive scar tissue from previous surgery: Requires additional work and isolation.

CPT codes 67314 and 67334 are used to report the resection of two muscles with adjustable sutures (67314) and surgery on an extraocular muscle involving extensive scar tissue (67334).

by Francisca at Mar 19, 2025, 06:25 PM

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Brunilda

4 months ago

Wait, are we really using adjustable sutures here? That's interesting!

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Tracie

4 months ago

I think it's definitely B!

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Joaquin

4 months ago

Sounds like a complex case with the scar tissue involved.

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Gwenn

4 months ago

I'm leaning towards A, but I'm not sure.

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Deonna

4 months ago

I disagree, I believe the correct answer is C.

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Odette

5 months ago

I thought 67314 was for a different type of procedure. I need to double-check which codes apply to the medial and lateral rectus muscles.

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Freeman

5 months ago

I feel like option B might be right since it includes the adjustable sutures, but I can't recall the specifics of the codes.

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Goldie

5 months ago

I think I practiced a similar question where we had to identify codes for muscle resection, but I’m not sure if it was the same scenario with scar tissue.

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Jerry

5 months ago

I remember that the codes for strabismus surgery can be tricky, especially with the resection and adjustable sutures involved.

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Casie

5 months ago

This is a tricky one, but I think I can figure it out. The scenario describes a complex strabismus surgery with additional procedures to address the scar tissue. I'll carefully analyze the options and choose the one that best matches the services provided.

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Mertie

6 months ago

I'm feeling a bit lost on this one. There are a lot of details to consider, and I'm not entirely sure which CPT codes would be most appropriate. I'll need to review my notes and references carefully before selecting an answer.

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Thaddeus

6 months ago

Okay, I think I've got this. The key is identifying the specific procedures performed - resection of the medial and lateral rectus muscles, with adjustable sutures, and freeing the muscle from scar tissue. I'll go with option D.

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Leontine

6 months ago

Hmm, I'm a little unsure about this one. The details about the scar tissue and previous surgery are throwing me off. I'll need to double-check the coding guidelines for these types of complex cases.

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Otis

6 months ago

This seems like a pretty straightforward strabismus surgery question. I'll need to carefully review the CPT codes for the procedures described in the scenario.

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Kenneth

12 months ago

This question is really putting me through the wringer. But if I had to guess, I'd say D is the way to go. After all, you can't spell 'strabismus' without 'mus', right?

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Ora

11 months ago

Yeah, D seems like the best choice based on the procedure described.

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Cornell

11 months ago

I think D is correct too. It makes sense with the muscle resection and scar tissue removal.

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Luisa

12 months ago

My eyes are practically rolling back in my head trying to figure this one out. But I'm gonna go with D - it just seems to capture the essence of this eye-watering procedure.

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Louann

1 year ago

As an ophthalmology enthusiast, I can say with confidence that D is the correct answer here. Gotta love those adjustable sutures! This is a classic strabismus surgery scenario.

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Thurman

10 months ago

Definitely, this surgery requires precision and skill to ensure the patient's eye alignment is corrected successfully.

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Salina

10 months ago

Yes, the physician had to isolate the extraocular muscle and free it from the surrounding scar tissues. It's a delicate process.

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Antonio

11 months ago

I think it's important to note the extensive scar tissue from the previous surgery, which adds complexity to the procedure.

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Letha

12 months ago

I agree, D is the correct answer. Those adjustable sutures are key in this surgery.

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Devorah

1 year ago

Hmm, this is a tricky one. I'm debating between B and D, but I'll go with D. The extensive scar tissue and previous surgery mention makes me think the 67334 code for muscle surgery with use of suture adjustments is appropriate.

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Antonio

1 year ago

That makes sense, we should carefully review the details of the surgery to determine the correct codes.

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Ashley

1 year ago

I'm not sure, but I think the key is to consider the specific procedures performed in the surgery.

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Jamal

1 year ago

I disagree, I believe it is C) 67312, 67335.

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Davida

1 year ago

I think the correct answer is D. The CPT codes 67311 and 67334 seem to match the description of the surgery performed, with the resection of the medial and lateral rectus muscles and the need to free the extraocular muscle from scar tissue.

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