CPC Exam Dumps : Certified Professional Coder (CPC) Exam

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).

To accurately code this emergency department visit, we need to assess the three key components: history, examination, and medical decision making (MDM).

History:

The documentation supports an expanded problem-focused history. This includes a chief complaint, a brief history of present illness (HPI), a review of systems (ROS) with pertinent positives and negatives, and a past medical history.

Examination:

The examination is also expanded problem-focused. The physician focused on the relevant systems (constitutional, HENT, respiratory) and documented specific findings related to the chief complaint (appears tired).

Medical Decision Making:

The MDM complexity is low. The physician is assessing a new problem (shortness of breath and weakness) with a low level of risk. No further testing or treatment is documented in this encounter.

Based on these components, 99283 is the most appropriate code.

Why other options are incorrect:

99282: Requires a problem-focused history and examination, which is less comprehensive than what was documented.

99284 and 99285: Require a higher level of MDM (moderate or high complexity) and/or a more detailed examination. The documentation doesn ' t support this level of service.

1. Procedure and CPT® Code Selection:

The cardiologist provided remote monitoring over a 30-day period for a hemodynamic pulmonary artery pressure monitor implanted in a patient with congestive heart failure.

CPT® Code 93264 is appropriate for remote monitoring of a hemodynamic system for up to 30 days. This code includes services such as weekly data transmissions, interpretation, trend analysis, and reporting—exactly as described in this case.

2. Rationale for Excluding Other Options:

Code 93286 is for in-person interrogation and programming of pacemakers or defibrillators, not for remote monitoring of a hemodynamic monitor, making it incorrect.

Code 93288 is for interrogation device evaluation (remote), specifically for pacemakers or defibrillators, and does not apply to a pulmonary artery pressure monitor.

Code 93279 is for in-person programming of certain cardiac devices, which does not match the remote monitoring described in this scenario.

3. AAPC and CPT® Coding Guidelines:

AAPC and CPT® guidelines specify that 93264 is the correct code when reporting remote hemodynamic monitoring for a pulmonary artery pressure device over a period of up to 30 days, including data review and interpretation.

Therefore, the correct answer is B. 93264.