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
, 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-
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
, 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-
