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A 55-year-old patient with suspected liver cancer was seen by the physician to obtain a biopsy. The special biopsy needle was placed using ultrasonic guidance. The physician obtained a small tissue sample from the liver, which was then sent to pathology.
What CPT codes are reported?
Answer : D
Procedure: The physician performed a liver biopsy using ultrasonic guidance.
CPT Codes:
47000: This code is for the liver biopsy.
76942-26: This code is for ultrasonic guidance for needle placement, with modifier -26 indicating the professional component.
Code Selection Justification: The CPT code 47000 specifically captures the liver biopsy, and 76942-26 accurately represents the ultrasonic guidance utilized during the procedure.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
The procedure is performed at an outpatient radiology department. From a left femoral access, the catheter is placed in the abdominal aorta and is then selectively placed in the celiac trunk and manipulated up into the common hepatic artery for an abdominal angiography. Dye is injected, and imaging is obtained. The provider performs the supervision and interpretation.
What CPT codes are reported?
Answer : B
Procedure: Abdominal aorta catheterization and selective placement in the celiac trunk for angiography.
CPT Codes:
36246: This code is for the catheter placement in the abdominal aorta.
75726-26: This code represents the abdominal angiography with supervision and interpretation, with the -26 modifier indicating the professional component.
Code Selection Justification: The procedure involves the catheterization of the abdominal aorta and the specific imaging performed with supervision and interpretation.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
A complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging, is performed on a patient with systolic left ventricular congestive heart failure and premature ventricular contractions.
What CPT and ICD-10-CM codes are reported?
Answer : B
Procedure: Complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging.
CPT Codes:
75561: Cardiac MRI for morphology and function without contrast material.
75563: Cardiac MRI with contrast and further sequences.
ICD-10-CM Codes:
I50.1: Left ventricular failure.
I49.1: Premature ventricular contractions.
Code Selection Justification: The CPT codes accurately capture the MRI procedures performed. The ICD-10-CM codes represent the diagnoses of left ventricular failure and premature ventricular contractions.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
A 3-day-old died in her sleep. The pediatrician determined this was the result of crib death syndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopic examination. The physician issues the findings and reports they are consistent with a normal female newborn.
What CPT code is reported?
Answer : A
Procedure: Gross and microscopic examination of a newborn autopsy.
CPT Code:
88028: This code is for the autopsy, gross and microscopic examination of a stillborn or newborn.
Code Selection Justification: The procedure described matches the comprehensive postmortem examination of a newborn.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
A 45-year-old female presents to the ED with chest pain. The provider has an Albumin Cobalt Binding Test to determine if the chest pain is ischemic in nature.
That lab test is reported?
Answer : A
Procedure: Albumin Cobalt Binding (ACB) test to determine ischemic nature of chest pain.
CPT Code:
83857: This code is used for the Albumin Cobalt Binding test.
Code Selection Justification: The ACB test specifically measures ischemia-modified albumin, making 83857 the appropriate code for this laboratory test.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
