AAPC Updated CPC Exam Questions and Answers by nikolas

Anesthesia CPT®:

00120 – Anesthesia for ear procedures

AD modifier:

Anesthesiologist medically directing > 4 CRNAs

P3 – Severe systemic disease

Diagnosis Code:

H90.41 – Sensorineural hearing loss, unilateral, right ear

Why others are incorrect:

AA – Personally performed

QX / QY – Incorrect direction model

H90.5 – Unspecified hearing loss

1. Procedure and CPT® Code Selection:

The patient required surgical intervention for severe ocular trauma involving removal of a foreign body from the posterior segment of the eye, suturing of the corneal laceration, and a pars plana lensectomy.

CPT® Code 65265 is for removal of a foreign body from the posterior segment of the eye without the use of a magnet. This code is appropriate for the removal of the metallic foreign body using retinal forceps.

CPT® Code 66852 covers the pars plana lensectomy, which was performed as part of the surgical treatment.

CPT® Code 65280 is used for repairing a corneal laceration with multiple perforations, which applies to the corneal suturing.

2. Modifiers:

Modifier RT is used to indicate that the procedures were performed on the right eye.

Modifier 51 is added to indicate multiple procedures performed during the same surgical session.

3. Diagnosis and ICD-10-CM Code Selection:

ICD-10-CM Code S05.51XA is appropriate for penetrating wound of the right eyeball with a foreign body in the posterior segment.

ICD-10-CM Code W31.1XXA is used to indicate that the injury was caused by contact with a metalworking and woodworking machine.

4. Rationale for Excluding Other Options:

Codes 65235 and 65275 in options B, C, and D refer to foreign body removal from the anterior chamber and the anterior segment, respectively, which are not appropriate since the foreign body was located in the posterior segment.

Codes S05.31XA and W31.0XXA in options C and D represent different eye injuries and types of machines, which do not match the scenario described.

5. AAPC and CPT® Coding Guidelines:

According to AAPC guidelines, codes should be selected based on the specific location (posterior segment) and the type of foreign body removal. Each procedure, including the corneal repair, should be coded to capture the full extent of the treatment.

Therefore, the correct answer is A. 65265-RT, 66852-51-RT, 65280-51-RT, S05.51XA, W31.1XXA.

30901 = Control of anterior epistaxis, limited, any method

30903/30905/30906 are for extensive packing or posterior epistaxis

49083 – Abdominal paracentesis, diagnostic or therapeutic; with imaging guidance

This code includes imaging guidance (ultrasound or fluoroscopy).

Per CPT® guidelines, do not separately report fluoroscopy or ultrasound guidance with 49083.

The procedure was performed in the hospital, but CPT coding does not change based on site of service.

Why Other Options Are Incorrect:

A (49082) – Used without imaging guidance

B / D – Imaging guidance codes (77001, 77002) are bundled into 49083 per CPT® and NCCI edits

Official CPT® Guidance:

When a paracentesis is performed with imaging guidance, report 49083 only.