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NEW QUESTION # 151
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test. He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
Answer: A
Explanation:
Procedure: Cardiac stress test performed using hospital's equipment with the cardiologist providing supervision, interpretation, and report.
CPT Codes:
93016: This code is for supervision only without provision of the equipment.
93018: This code is for interpretation and report only.
Code Selection Justification: Since the cardiologist does not own the equipment, codes 93016 and 93018 correctly represent the supervision, interpretation, and report of the test.
AMA CPT Professional Edition (current year)
NEW QUESTION # 152
Refer to the exhibit.
Refer to the supplemental information when answering this question:
View MR 005271
What CPT coding is reported?
Answer: B
Explanation:
CPT Code 55706: Biopsy, prostate; needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance.
This code accurately describes the procedure performed. The documentation clearly states that a stereotactic template was used to guide the biopsy needles, and multiple samples were taken (saturation biopsies). This code includes imaging guidance.
CPT Code 76942: Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation.
Although 55706 includes imaging guidance, code 76942 is also reported separately because the transrectal ultrasound provided initial diagnostic images and was then used for guidance during the biopsy. This is supported by the documentation which states "Using a B & K ultrasound probe, a transrectal ultrasound of the prostate was obtained. Once this was done...a biopsy needle is inserted into the prostate...under ultrasound guidance." This indicates distinct uses of the ultrasound.
Important Note: While some sources suggest that 76942 and the diagnostic transrectal ultrasound code (76872) are bundled, it's crucial to consult the latest National Correct Coding Initiative (NCCI) edits for the most up-to-date guidance.
Reference:
CPT Code 55706: Biopsy, prostate; needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance CPT Code 76942: Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NCCI Edits: Always check the most current NCCI edits to confirm coding combinations.
NEW QUESTION # 153
A 55-year-old patient was recently diagnosed with an enlarged goiter. It has been two years since her last visit to the endocrinologist. A new doctor in the exact same specialty group will be examining her. The physician performs a medically appropriate history and exam. The provider reviewed the TSH results and ultrasound. The provider orders a fine needle aspiration biopsy which is a minor procedure.
What E/M code is reported?
Answer: A
NEW QUESTION # 154
A patient presents to the ER with a large sacral pressure ulcer measuring 7 cm. The provider excised the ulcer with 3 mm margins, removed muscle and segmental bone, and performed a layered skin flap closure.
What CPT and ICD-10-CM coding is reported?
Answer: A
Explanation:
Pressure ulcer excision with bone involvement → CPT 15937 (sacral, with ostectomy) Stage 4 pressure ulcer → L89.156 (sacral region with necrosis of bone)
NEW QUESTION # 155
An incision is made in the scalp, a craniectomy is performed to access the area where electrodes are present.
The electrodes are removed. The surgical wound is closed.
What procedure code is reported?
Answer: D
Explanation:
The procedure described involves the removal of electrodes from the cranial area after making an incision in the scalp and performing a craniectomy.
Procedure Description:
Incision in the scalp.
Craniectomy to access the area with electrodes.
Removal of electrodes.
Closure of the surgical wound.
CPT Coding:
61860: Removal of intracranial neurostimulator electrodes, including burr hole(s) or craniectomy.
AMA's CPT Professional Edition (current year).
CPT Assistant for detailed coding guidelines on neurostimulator procedures.
NEW QUESTION # 156
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