A 55-year-old male patient is coming to the hospital for an outpatient service for a prostate biopsy. The patient has a family history of prostate cancer, had recent blood work showing elevated PSA levels, and has problems urinating. The patient presents and is placed under anesthesia and prepped and draped. Ultrasonic guidance is used for needle placement, and a needle biopsy is taken. The biopsy is sent to pathology, and the patient is awaiting the results. Select the appropriate CPT and ICD-10-CM codes:

Question

Quizplus · Accepted Answer

The correct CPT code for a needle biopsy of the prostate is 55700. The use of ultrasonic guidance for needle placement is coded as 76942. The ICD-10-CM code R97.20 is used for elevated PSA levels, and Z80.42 is for the family history of prostate cancer. These codes accurately describe the procedure and the patient's condition and history.

A 55-Year-Old Male Patient Is Coming to the Hospital for an Outpatient