Discuss AAPC CPC Exam Topic 8 Question 61

An 87-year-old male with a history of atrioventricular block and prior dual-chamber pacemaker implantation presents to the cardiology clinic for an in-person device evaluation. The physician performs a full electronic analysis of the pacemaker system, assessing atrial and ventricular lead function, battery status, sensing thresholds, and pacing thresholds. After the assessment, the pacemaker settings are adjusted to optimize heart rate response. The patient tolerates the procedure well and is advised to return for routine follow-up.

What CPT code is reported?

A93281

B93284

C93283

D93280

Suggested Answer: D

80324 -- Drug test(s), definitive, qualitative or quantitative, LC/MS; acetaminophen

LC-MS = definitive testing

Acetaminophen is specifically identified by 80324

Why others are incorrect:

60143 / 80299 -- Therapeutic drug assays (obsolete or nonspecific)

B0329 -- HCPCS code (not appropriate here)

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24 comments · newest first

Elke 2 days ago

Good point! But we need to consider the full scope of the visit.

Kattie 7 days ago

True, but A) 93281 is for just the analysis, not adjustments.

Nikita 12 days ago

But B) 93284 covers the adjustments too, right?

Willodean 17 days ago

I agree with Elke. C) 93283 makes sense for the assessment.

Kattie 23 days ago

I’m leaning towards A) 93281. It seems straightforward.

Elke 28 days ago

I feel like it’s C) 93283. It fits the full evaluation.

Nikita 1 month ago

This question is tricky. I think it’s B) 93284.

Delsie 1 month ago

Exactly! The specifics matter a lot in coding.

Veda 1 month ago

Either way, we need to consider the details of the evaluation.

Hollis 2 months ago

True, but A) 93281 might be more specific for the device check.

Brittney 2 months ago

But B) 93284 includes the full analysis, right?

Delsie 2 months ago

I agree with Veda. C) 93283 makes sense for the adjustments made.

Hollis 2 months ago

I’m leaning towards A) 93281. It seems to fit the scenario.

Veda 2 months ago

I feel like it’s C) 93283. It covers the evaluation part.

Brittney 2 months ago

This question is tricky! I think it’s B) 93284.

Mendy 3 months ago

Wait, are we sure about the battery status being part of the code?

Allene 3 months ago

Definitely 93281, that's the standard for this kind of check-up!

Rochell 3 months ago

Isn't it surprising how complex pacemaker evaluations can be?

Kimberlie 3 months ago

I disagree, I believe it's 93283 based on the analysis done.

Thaddeus 3 months ago

I think the right code is 93284 for the device evaluation.

Luisa 4 months ago

I’m leaning towards 93280 because it seems to fit the description of a routine follow-up, but I need to double-check the specifics.

Romana 5 months ago

I practiced a similar question where the focus was on device interrogation, and I think that was 93283.

Brett 5 months ago

I think it might be 93284 since it involves a full electronic analysis, but I could be mixing it up with another code.

Mila 5 months ago

I remember studying the different CPT codes for pacemaker evaluations, but I’m not entirely sure which one applies here.

AAPC CPC Exam - Topic 8 Question 61 Discussion