CPC Exam Dumps : Certified Professional Coder (CPC) Exam

The emergent endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-aortic tube endograft is coded with CPT 34702. This code includes the deployment of the endograft and the necessary balloon angioplasty for sealing the proximal and distal attachment zones.

CPT® code 15786 is used for abrasion treatment of a single lesion (e.g., for keratosis) through techniques like dermabrasion (lightly sanding the skin's surface). When treating multiple lesions in this manner, each lesion treated should be coded individually.

Since the patient has 5 keratosis lesions treated through sanding, 15786 x 5 accurately represents the procedure for each lesion.

Explanation of other options:

A. 15787 x 5: Incorrect because 15787 is designated for dermabrasion of "additional lesions" and would be used in conjunction with 15786, not alone.

B. 15786, 15787: Incorrect, as it does not account for all five lesions treated.

C. 15786, 15787 x 4: Incorrect, as 15787 is used only when performed in addition to 15786, not as a replacement for each additional lesion.

Therefore, the correct answer is D. 15786 x 5, which accurately reports the treatment of all five lesions.

1. Procedure and CPT® Code Selection:

The patient underwent a percutaneous needle biopsy of the liver with ultrasound guidance to assess primary biliary cirrhosis.

Code 47000 is the CPT® code for a percutaneous liver biopsy. This code encompasses the biopsy procedure itself.

Ultrasound guidance is commonly inherent to biopsy procedures, and guidance is not separately reported if the main code (47000) includes the technique used.

2. Diagnosis and ICD-10-CM Code Selection:

ICD-10-CM Code K74.5 is the correct code for primary biliary cirrhosis, which is specifically indicated in this case.

K74.3 is the code for other specified cirrhosis of the liver but is less specific than K74.5, making K74.5 the appropriate choice here.

3. Exclusion of Other Codes:

Code 47100 (option A) is for an open liver biopsy, which does not apply to this percutaneous procedure.

Codes 10005 (biopsy with imaging guidance) and 76942 (ultrasound guidance) would be redundant or incorrect since the main procedure code, 47000, sufficiently describes a percutaneous liver biopsy.

4. AAPC and CPT® Coding Guidelines:

AAPC guidelines state that guidance is included in certain biopsy codes when performed for the targeted organ, such as in 47000 for a liver biopsy.

Therefore, based on CPT® and ICD-10-CM coding rules, the correct answer is C. 47000, K74.5.