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Exam CPC Topic 1 Question 61 Discussion

Actual exam question for AAPC's CPC exam
Question #: 61
Topic #: 1
56-year-old female is postmenopausal with abnormal vaginal bleeding. Ob-gyn provider performs a hysteroscopy to examine the uterine cavity.
What CPTcode is reported?

Suggested Answer: C Vote an answer

1. Procedure and CPTCode Selection:
The procedure performed was a hysteroscopy to examine the uterine cavity due to abnormal vaginal bleeding.
This is a diagnostic hysteroscopy.
CPTCode 58555 is specifically for a diagnostic hysteroscopy to examine the uterine cavity, which aligns with the procedure performed in this case.
2. Rationale for Excluding Other Options:
Code 58558 is for a hysteroscopy with a surgical procedure, such as biopsy or removal of a lesion or polyp, which was not performed in this case.
Code 58579 is an unlisted procedure code for the female genital system and is unnecessary here because there is a specific code (58555) for diagnostic hysteroscopy.
Code 58578 is also an unlisted hysteroscopic procedure code and is not appropriate when a specific diagnostic code exists.
3. AAPC and CPTCoding Guidelines:
AAPC guidelines indicate that 58555 should be used for diagnostic hysteroscopy procedures without any surgical intervention.
Therefore, the correct answer, following CPTguidelines, is C. 58555.

by Maria at Dec 15, 2024, 07:12 AM

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