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Exam CPC topic 7 question 45 discussion

Actual exam question from AAPC's CPC
Question #: 45
Topic #: 7
[All CPC Questions]

The patient presents to the operating room for repair of a right proximal humerus fracture. The surgeon incises the skin over the fractured bone, the fracture is identified, adjusts the bone, and realigns the fracture. Next, the upper end of the humerus bone is replaced with a synthetic humerus bone implant.
What CPT® and ICD-10-CM codes are reported?

  • A. 23616-RT, S42.201B
  • B. 23600-RT, S42.211B
  • C. 23616-RT, S42.201A
  • D. 23615-RT, S42.211A
Show Suggested Answer Hide Answer
Suggested Answer: C 🗳️
by MelsWells at Nov. 15, 2023, 4:05 p.m.

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MelsWells
Highly Voted 6 months ago
The answer is A - it should be S42.201B because it is an open fracture.
upvoted 5 times
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Varam143
Most Recent 1 month, 4 weeks ago
C- is correct because according to cpt guidelines open fracture or closed fracture is not documented, should coded default closed fracture
upvoted 1 times
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Varam143
1 month, 4 weeks ago
Answer c-is correct
upvoted 1 times
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LauraLee26
4 months, 1 week ago
The documentation doesn't state its an open or compund fracture, the surgery was an open procedure but that doesn't factor in to the diagnosis of the fracture being an open fracture.
upvoted 2 times
...

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