73522 = Bilateral hips with pelvis, 3-4 views
Modifier -76 = Repeat procedure by the same physician
Modifier -51 identifies multiple procedures

1. Procedure and CPT Code Selection:
The patient underwent a needle biopsy of the liver using CT guidance to obtain two core biopsy samples.
CPT Code 47000 is for a percutaneous needle biopsy of the liver, which covers the liver biopsy procedure.
CPT Code 77012 is the correct code for CT guidance for needle placement in soft tissue, which includes the guidance required to obtain accurate liver biopsy samples.
2. Rationale for Excluding Other Options:
Code 47001 in option A is an add-on code for a liver biopsy performed during another procedure (such as a laparoscopic or open procedure) and is not applicable in this case, as 47000 is sufficient for a percutaneous approach.
Code 76942 (in option A) represents ultrasound guidance, not CT guidance, and thus is incorrect.
Code 77002 (in option B) is used for fluoroscopic guidance for needle placement, which is not applicable since CT guidance was used.
Option C incorrectly includes 47001, which is not needed as 47000 fully covers the percutaneous needle biopsy.
3. AAPC and CPT Coding Guidelines:
According to AAPC guidelines, 47000 is used for percutaneous liver biopsies, and 77012 should be reported for CT guidance for needle placement in the liver.
Therefore, the correct answer is D. 47000, 77012.

The patient is seeing a new doctor in the same specialty group for an enlarged goiter and is undergoing a medically appropriate history and exam, along with a fine needle aspiration biopsy.
Procedure Description:
Medically appropriate history and exam.
Review of TSH results and ultrasound.
Ordering of fine needle aspiration biopsy.
CPT Coding:
99202: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.
Since it has been two years since the last visit and the patient is being seen by a new doctor in the same specialty group, the encounter is considered a new patient visit.
AMA's CPT Professional Edition (current year).
CPT Assistant for detailed coding guidelines on evaluation and management services.

42820 = Tonsillectomy and adenoidectomy, under age 12
J35.03 already includes chronic tonsillitis and adenoiditis
Hypertrophy is included and not separately coded

This procedure is not a simple diagnostic lumbar puncture; it includestherapeutic drainageof CSF to relieve elevated intracranial pressure. CPT62272is used forspinal puncture with drainage of cerebrospinal fluid (therapeutic), which matches the "actively drain CSF" language. The physician also performed the puncture underCT guidance, and when imaging guidance is documented and not bundled into the primary code, you report the appropriate CT guidance code77012for needle placement. Option D (62270) is the classic diagnostic lumbar puncture/spinal puncture code and does not capture active drainage as the purpose. Options A and B are for different catheter/needle procedures and do not best match "spinal puncture with drainage" plus CT guidance in this vignette. CPC exam tip: when the stem emphasizespressure relief/drainage, thinktherapeutic drainage coderather than diagnostic LP, and then add imaging guidance when specifically documented and supported.