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AAPC CPC Exam - Topic 2 Question 29 Discussion

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?
D) 47000, 76942-26
A) 47000, 77002-26
B) 47000, 10005
C) 47100, 77012-26

AAPC CPC Exam - Topic 2 Question 29 Discussion

Actual exam question for AAPC's CPC exam
Question #: 29
Topic #: 2
[All CPC Questions]

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?

Show Suggested Answer Hide Answer
Suggested Answer: D

99222: This code is used for initial hospital care, per day, for the evaluation and management of a patient, which requires a detailed or comprehensive history, a detailed or comprehensive examination, and medical decision making of moderate complexity.

The documentation shows a detailed history (including HPI, ROS, PMH, SH, and FH) and a detailed examination (covering multiple organ systems). The medical decision making involves the management of an acute asthma exacerbation, which includes admitting the patient to observation status, administering oral steroids, and planning for further diagnostic testing.


CPT Professional Edition, AMA

by Alecia at Jul 14, 2024, 10:24 PM

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Merissa
9 months ago
I thought 10005 was for something else, not biopsy.
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Nakisha
9 months ago
Totally agree, D seems to fit best here!
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Paola
9 months ago
Wait, is 76942 really the right ultrasound code?
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Herman
10 months ago
I think it's D, 47000 and 76942-26.
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Shawnta
10 months ago
The biopsy code is definitely 47000.
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Glen
10 months ago
I feel like I should know this, but I can't recall if 10005 is the right code for pathology. I thought it was for something else.
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Kiera
10 months ago
I’m leaning towards option D, but I keep mixing up the codes for liver biopsy and ultrasound guidance.
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Hayley
10 months ago
I remember practicing a similar question, and I think the correct code for ultrasound guidance is 76942.
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Bo
11 months ago
I think the biopsy code is 47000, but I'm not sure about the ultrasound guidance part. Was it 77002 or something else?
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Leatha
11 months ago
Ugh, I'm a little lost on this one. Radiology and imaging codes can be so confusing. Let me re-read the question carefully and see if I can break it down step-by-step.
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Francine
11 months ago
This is a tricky one. There are a lot of different CPT codes to keep track of for procedures like this. I'll need to review my notes and really think through each step to make sure I select the right combination.
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Trinidad
11 months ago
Hmm, let me think this through. The key details are that it was a liver biopsy with ultrasound guidance. I'll need to look up the codes for those procedures and see which one matches the options provided.
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Glen
11 months ago
This question seems straightforward - it's asking for the CPT codes for a liver biopsy with ultrasound guidance. I'm pretty confident I can figure this out.
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Twana
11 months ago
Okay, I remember learning about liver biopsies in class. I think the main CPT code would be for the biopsy itself, and then there would be a separate code for the ultrasound guidance. Now I just need to match that up with the answer choices.
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Adela
11 months ago
Ah, I've seen this kind of question before. The key is to focus on the specific wording of the options and match them to the information provided in the image. I'm feeling confident about this one.
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Rosio
11 months ago
Hmm, I'm a bit unsure about this one. I know data types are important, but I'm not sure if that's the complete answer. Let me think this through step-by-step.
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Elke
1 year ago
I'm just hoping the patient doesn't end up with a liver-y good time after all this poking and prodding!
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Kathryn
1 year ago
Yes, waiting for results can be nerve-wracking.
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Lasandra
1 year ago
Me too, it must be a stressful time for the patient.
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Georgene
1 year ago
I hope the biopsy results come back okay.
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Maile
1 year ago
This is a tough one, but I'm leaning towards option C. The 47100 code for a percutaneous liver biopsy, and 77012-26 for CT guidance, seems like the most comprehensive choice.
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Rolf
1 year ago
Yes, option C makes sense based on the description of the biopsy procedure and the codes provided.
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Josphine
1 year ago
I agree, option C seems to be the most comprehensive choice for the procedure described.
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Theodora
1 year ago
I think option C is the correct choice. The 47100 code is for a percutaneous liver biopsy, and 77012-26 is for CT guidance.
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Tracie
1 year ago
Haha, who needs a needle when you can just reach in and grab a piece of the liver, am I right? But seriously, I'm going with option D. The 76942-26 code for ultrasound guidance seems like the way to go.
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Lang
1 year ago
It's important to use the right codes to accurately reflect the services provided during the biopsy.
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Lucy
1 year ago
I agree, the 76942-26 code covers the use of ultrasonic guidance, which is necessary for this procedure.
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Lizette
1 year ago
Yeah, using the ultrasound guidance ensures that the biopsy needle is accurately placed in the liver.
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Gail
1 year ago
I think option D is the correct one too. The ultrasound guidance is crucial for a precise biopsy.
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Domonique
1 year ago
Hmm, I'm not so sure. I think option B with 10005 for the fine-needle aspiration biopsy might be the way to go. What do you guys think?
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Mickie
1 year ago
I agree, option B with 10005 seems like the right choice for the biopsy procedure.
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Alethea
1 year ago
I think option B is correct. 10005 is for the fine-needle aspiration biopsy.
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Roy
1 year ago
I'm not sure, but I think option A makes sense. The biopsy and ultrasound guidance are both necessary procedures.
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Crista
1 year ago
I agree with Sharita. The ultrasound guidance is represented by code 77002-26.
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Rosendo
1 year ago
Option A looks correct to me. The CPT code 47000 is for a liver biopsy, and 77002-26 is for the imaging guidance. Easy peasy!
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Sabine
1 year ago
Absolutely, accuracy is key when it comes to medical coding.
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Margart
1 year ago
That makes sense, it's important to use the correct codes for accurate billing.
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Stephania
1 year ago
The CPT code 47000 is for the liver biopsy and 77002-26 is for the imaging guidance.
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Rosendo
1 year ago
I agree, option A is the correct choice.
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Sharita
1 year ago
I think the correct answer is A) 47000, 77002-26.
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