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 codes for a prostate biopsy using ultrasonic guidance are 55700 for the biopsy itself and 76942 for the ultrasonic guidance. The ICD-10-CM codes include R97.20 for the elevated PSA levels and Z80.42 for the family history of prostate cancer.

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