CPC Exam Dumps : Certified Professional Coder (CPC) Exam

This scenario describes apalatoplasty(repair of cleft palate) withclosure of the alveolar ridgeusing abone graft. CPT code42210is the code that captures palatoplasty withclosure of the alveolar ridgeand associated bone grafting work as part of the reconstructive procedure described. Because the bone graft is part of the defined palatoplasty service in this code concept, you donotseparately report a generic bone graft harvesting code such as20900in the way the answer options suggest. The distractor42200is associated with a more limited palate repair (not matching the alveolar ridge closure with graft detail), and42205does not reflect the specific alveolar ridge closure with bone grafting described in the question stem. CPC exam strategy: identify the mostcomprehensive cleft palate repairthat matches the documentation; when a CPT code description includes the specific additional work (like alveolar ridge closure with graft), code that single comprehensive service.

The procedure described involves a LeFort I reconstruction, which is a type of orthognathic surgery performed to correct deformities of the midface. In this scenario, the surgeon performed the reconstruction in two pieces, moving the upper jawbone forward and repositioning the teeth of the maxilla. According to the CPT® guidelines, CPT code 21146 describes a LeFort I (maxilla only) osteotomy, two-piece segment, including bone grafts (includes obtaining autografts). This code matches the description provided.

Cystourethroscopy: This is a procedure that involves the use of a cystoscope to look inside the urethra and bladder.

Pyeloscopy: Involves the examination of the upper urinary tract, typically done through the cystoscope.

Lithotripsy: A procedure that uses shock waves or a laser to break up stones in the kidney, bladder, or ureter.

Indwelling stent insertion: A procedure to place a stent in the ureter to help urine flow from the kidney to the bladder.

52356: Cystourethroscopy with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization and/or ureteral stent placement).

The code 52356 includes all components mentioned: cystourethroscopy, pyeloscopy, lithotripsy, and stent insertion performed in the same operative session.