Pearson CPC New Attempt

The operative service is anamputation of the left third toe at the metatarsophalangeal (MTP) joint. CPT28820describes toe amputationthrough the MTP joint, matching the “amputation at the metatarsophalangeal joint” language and the incision encircling the joint with removal of the toe after dividing tendons/ligaments. ModifierT2correctly identifies theleft foot, third digit. Diagnosis coding must capture the ischemic disease withgangreneplus thenon-pressure chronic ulceron the toe. In the answer set,I70.262represents lower-extremity atherosclerosis/PVDwith gangrene(left side per the option). The chronic ulcer is separately reported using the providedL97.528non-pressure ulcer code for the left foot/toe severity category offered by the choices. Antibiotic prophylaxis (Ancef), anesthesia type, tourniquet use/time, and technique details support the procedure but do not change the core CPT/ICD-10-CM selection. Therefore, the correct combination is28820-T2, I70.262, L97.528.

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)

Procedure Coding (CPT®):

59821 – Induced abortion, by vaginal suppository, amniotic fluid injection, or other medical means

Used for fetal demise at ≥14 weeks gestation

Labor was medically induced and fetus delivered

Diagnosis Coding (ICD-10-CM):

O36.4XX0 – Maternal care for intrauterine death, not applicable or unspecified

Correct maternal record diagnosis

Z3A.19 – 19 weeks gestation

Required per ICD-10-CM guidelines for obstetric encounters

Why Other Options Are Incorrect:

A / D – ICD-9 code (002.1) is invalid

C – Missing required gestational age code

Formultiple gestation vaginal deliveries, CPT global obstetric care is generally reported as the global code for thefirst fetus(here59400: antepartum + vaginal delivery + postpartum), and an additionaldelivery-onlycode for each additional fetus (here59409) with an appropriate modifier (commonly-51in exam-style choices). You donotreport59400 twicebecause the global package is not duplicated for each baby; only the additional delivery service is added for the additional fetus. Diagnosis coding: this is atwin pregnancy, dichorionic/diamniotic, third trimester→O30.043. Delivery outcome for twins →Z37.2, and weeks of gestation →Z3A.36. Because delivery occurred at36 weeks(preterm threshold is < 37 weeks), and the options use thepreterm labor with preterm deliverycategory with fetus identifiers, the correct pairing shown isO60.14X1 and O60.14X2(fetus 1 and fetus 2). Option D is the only one matching correct CPT multiple-delivery structure and appropriate diagnosis set.