CPC Exam Dumps : Certified Professional Coder (CPC) Exam

1. Procedure and CPT® Code Selection:

The procedure performed was a hysteroscopy to examine the uterine cavity due to abnormal vaginal bleeding. This is a diagnostic hysteroscopy.

CPT® Code 58555 is specifically for a diagnostic hysteroscopy to examine the uterine cavity, which aligns with the procedure performed in this case.

2. Rationale for Excluding Other Options:

Code 58558 is for a hysteroscopy with a surgical procedure, such as biopsy or removal of a lesion or polyp, which was not performed in this case.

Code 58579 is an unlisted procedure code for the female genital system and is unnecessary here because there is a specific code (58555) for diagnostic hysteroscopy.

Code 58578 is also an unlisted hysteroscopic procedure code and is not appropriate when a specific diagnostic code exists.

3. AAPC and CPT® Coding Guidelines:

AAPC guidelines indicate that 58555 should be used for diagnostic hysteroscopy procedures without any surgical intervention.

Therefore, the correct answer, following CPT® guidelines, is C. 58555.

Medical terms here are very literal.Peri-meansaround,cardirefers to theheart, and-itismeansinflammation. Sopericarditisis inflammation of thepericardium, thefibrous sac surrounding the heart. “With effusion” indicatesfluid accumulationin that pericardial space (pericardial effusion), which can be clinically important because significant effusion may impair heart filling (tamponade risk), but the question is strictly asking which structure is inflamed. Distractors map to other “card-” terms:myocardium(heart muscle) would be “myocarditis,”endocardium(inner lining of chambers/valves) would be “endocarditis,” and blood vessels supplying the heart arecoronary arteries(inflammation would not be termed pericarditis). On CPC exams, identifyingprefix + root + suffixis the fastest method: peri (around) + cardi (heart) + itis (inflammation) → pericardium inflamed.

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.