Medicare provides specific codes for screening colonoscopy based on the patient's risk factors. For a Medicare patient scheduled for a screening colonoscopy who is at high risk (such as those with a history of intestinal polyps), the appropriate code is G0105.
G0105 is used for colorectal cancer screening; colonoscopy on individuals at high risk.
HCPCS Level II, current year
Medicare Guidelines for Colorectal Cancer Screening

For bronchoscopy coding, you report the CPT code that describes thetype of scopeand thekey procedure performed. When bronchoscopicbiopsiesare performed, the service is reported with the appropriate bronchoscopy-with-biopsy code, and youdo not multiply the code by the number of biopsy samples. CPT codes for endoscopy procedures generally represent theoverall service, regardless of how many specimens are obtained during that one session at the same anatomic site category. In this question set,31628is the correct code representingflexible bronchoscopy with transbronchial lung biopsy(the biopsy component is the coded element).31625describes bronchoscopy with a different work element (not the biopsy service intended here), making it an incorrect distractor. Options that apply "×5" reflect a common novice error-billing per specimen rather than per procedure. On CPC exams, the presence of multiple biopsies is usually included to test whether you understand that endoscopic biopsy codes arenot reported per sample.

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.

Procedure: The physician performed a liver biopsy using ultrasonic guidance.
CPT Codes:
47000: This code is for the liver biopsy.
76942-26: This code is for ultrasonic guidance for needle placement, with modifier -26 indicating the professional component.
Code Selection Justification: The CPT code 47000 specifically captures the liver biopsy, and 76942-26 accurately represents the ultrasonic guidance utilized during the procedure.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)

* Bilateral salpingo-oophorectomy: This involves the removal of both fallopian tubes and ovaries.
* Right and left fallopian tubes: Both fallopian tubes are removed.
* Left ovary: Only the left ovary is removed.
* Abdominal incision: The procedure is performed via an abdominal approach.
* 58720: Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure).
The procedure involves the removal of both fallopian tubes and one ovary, making 58720 the appropriate code.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year), HCPCS Level II (current year)