AAPC CPC Practice Exam B Questions and Answers

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AAPC CPC Practice Exam B Questions and Answers

1.PRE OP DIAGNOSIS: Left Breast Abnormal MMG or Palpable Mass;

Oth- er Disorders of Breast PROCEDURE: Automated Stereotactic Biopsy

Left Breast FINDINGS: Lesion is located in the lateral region, just at or

below the level of the nipple on the 90 degree lateral view. There is a subglandular implant in place. I discussed the procedure with the patient today including risks, benefits and alternatives. Specifically discussed was the fact that the implant would be displaced out of the way during this biopsy procedure. Possibility of injury to the implant was discussed with the patient. Patient has signed the consent form and wishes to proceed with the biopsy. The patient was placed prone on the stereotactic table; the left breast was then imaged from the inferior approach. The lesion of interest is in the anterior portion of the breast away from the implant which was displaced back toward the chest wall. After imaging was obtained and stereotactic guidance used to target coordinates for the biopsy, the left breast was prepped with Betadine. 1% lidocaine was injected subcutaneously for local anesthetic. Additional lido- caine with epinephrine was then injected through the indwelling needle. The SenoRx needle was then placed into the area of interest. Under stereotactic guidance we obtained 9 core biopsy samples using vacuum and cutting technique. The specimen radiograph confirmed representative sample of calcification was removed. The tissue marking clip was deployed into the 1 / 2

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biopsy cavity successfully. This was confirmed by final stereotactic digital image and confirmed by post core biopsy mammogram left breast. The clip is visualized projecting over the lateral anterior left breast in satisfactory position. No obvious calcium is visible on the final post core biopsy image in the area of interest. The patient tolerated the procedure well. There were no apparent complications. The biopsy site was dressed with Steri-Strips, bandage and ice pack in the usual manner. The patient did receive written and verbal post-biopsy instructions. The patient left our department in

good condition. IMPRESSION: 1. SUCCESSFUL STEREOTACTIC CORE

BIOPSY OF LEFT BREAST CALCIFICATIONS. 2. SUCCESSFUL

DEPLOYMENT OF THE TISSUE MARKING CLIP INTO THE BIOPSY CAVITY

3. PATIENT LEFT OUR DEPARTMENT IN GOOD CONDITION TODAY WITH

POST-BIOPSY IN- STRUCTIONS. 4. PATHOLOGY REPORT IS PENDING; AN

ADDENDUM WILL BE ISSUED AFTER WE RECEIVE THE PATHOLOGY

REPORT.

What is (are) the CPT® code(s)?

A. 19081

B. 19283

C. 19081, 19283

D. 19100, 19283: To start narrowing your choices was the biopsy

performed percu-

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