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NEW QUESTION # 146
A patient underwent a colonoscopy, where the gastroenterologist biopsied two polyps from the colon. Each polyp was sent to pathology as separately identified specimens. The gastroenterologist was requesting a pathology consult while the patient was still on the table. Tissue blocks and frozen sections were then prepared and examined as follows:
Specimen 1: First Tissue Block-Three Frozen Sections Second Tissue Block-One Frozen Section Specimen 2: First Tissue Block-Two Frozen Sections Second Tissue Block-One Frozen Section What CPT coding is reported?
Answer: D
Explanation:
Frozen section pathology coding rules:
88331 - Frozen section, first tissue block, each specimen
88332 - Frozen section, each additional tissue block, same specimen
Breakdown:
Specimen 1
Block 1 # 88331 × 1
Block 2 # 88332 × 1
Specimen 2
Block 1 # 88331 × 1
Block 2 # 88332 × 1
However, multiple frozen sections per tissue block are separately reportable:
Total first blocks = 4 frozen sections # 88331 × 4
Total additional blocks = 3 frozen sections # 88332 × 3
CPT pathology guidelines require coding by tissue block and specimen, not by polyp alone.
NEW QUESTION # 147
View MR 004397
MR 004397
Operative Report
Preoperative Diagnosis: Calculi of the gallbladder
Postoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitis Procedure: Cholecystectomy Indications: The patient is a 50-year-old woman who has a history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder.
Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and C02 was insufflated into the abdomen until an adequate pneumoperitoneum was achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder. Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissected from the liver bed. The scope and trocars are removed.
What CPT coding is reported for this case?
Answer: A
Explanation:
47563: Laparoscopic cholecystectomy with cholangiography is coded as 47563. The report details the laparoscopic removal of the gallbladder with intraoperative cholangiography.
74300-26: The radiological supervision and interpretation for the cholangiography is coded as 74300 with modifier -26 (Professional Component) since the interpretation was done by the physician.
CPT Professional Edition, AMA
NEW QUESTION # 148
A patient with abnormal growth had a suppression study that included five glucose tests and five human growth hormone tests.
What CPT@ coding is reported?
Answer: A
Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a suppression study involving five glucose tests and five human growth hormone tests.
CPTCode 80430 represents a suppression panel specifically for growth hormone studies, which includes various assessments for diagnosing abnormal growth.
CPTCode 82947 is used for each glucose test performed, and since five glucose tests were conducted, it should be coded as 82947 x 5.
CPTCode 83003 is used for each human growth hormone test performed, and since five tests were conducted, it should be coded as 83003 x 5.
2. Rationale for Excluding Other Options:
Option A lists 82947 x 2 and 83003 without sufficient units to account for the five tests each, which does not match the actual number of tests performed.
Option B omits the suppression panel code 80430, which is necessary for documenting the overall suppression study.
Option D does not provide the correct quantity of glucose and growth hormone tests, which were each performed five times.
3. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, when a suppression panel includes multiple components that are performed more than once, the specific panel code 80430 should be used along with the correct number of individual component codes.
Therefore, the correct answer is C. 80430, 82947 x 5, 83003 x 5.
NEW QUESTION # 149
A diagnostic mammogram is performed on the left and right breasts. Computer-aided detection is also used to further analyze the image for possible lesions.
What CPT coding is reported for this radiology service?
Answer: B
Explanation:
A diagnostic mammogram performed on both breasts with computer-aided detection (CAD) is reported with CPT code 77066. This code is used when CAD is utilized to further analyze the images for possible lesions, and it covers both breasts.
References:
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 150
A 56-year-old female patient with a history of degenerative disc disease at levels T2-T3 and T4-T5 underwent a surgical repair procedure. Two surgeons will be working together as primary surgeons Surgeon X: Carried out the anterior exposure of the spine and mobilized the great vessels, assisted Dr. Z. and performed the closure.
Surgeon Z: Performed a minimal anterior discectomy and fusion at T2-T3 and T4-T5 levels using an anterior interbody technique and solely performed utilizing a structural allograft.
What is the CPT coding for the two surgeons?
Answer: A
Explanation:
The case describes two primary surgeons working together, which supports modifier 62 (co-surgeons) on the spine fusion/discectomy codes.
22556 = primary level anterior thoracic discectomy and fusion (T2-T3)
22585 = each additional thoracic level (T4-T5)
20931 = structural allograft (reported by the surgeon who solely performed/placed the structural allograft, per the statement-Surgeon Z) Why D fits best:
Surgeon X performed the approach/exposure and closure and assisted the primary surgeon → reports the co-surgeon spine procedure codes (22556-62, 22585-62).
Surgeon Z performed the discectomy/fusion and solely performed utilizing a structural allograft → reports 22556-62, 22585-62, plus 20931.
Options with -51 are not correct here (and add-on/related reporting logic in CPT does not support the way -51 is applied in those options).
NEW QUESTION # 151
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