Specimen site: Gastric biopsy
Gross description: Gastric biopsy: Received in formalin, the specimen consists of two fragments of gray-brown mucosa, each measuring approximately 0.3 centimeter in diameter. Totally submitted for routine and special stains and additional levels.
Microscopic description: Sections show benign-appearing gastric mucosa with acute and chronic inflammatory cells within the lamina propria. The surface and pit-lining epithelium are also infiltrated with neutrophils. There is no dysplasia or malignancy. Special stains for H. pylori are positive.
Final diagnosis:
Gastric biopsy:
? Chronic active gastritis.
? Warthin-Starry stain positive for H. pylori.
? Negative for intestinal metaplasia, dysplasia, or malignancy.
Select the appropriate ICD-10-CM and CPT code(s) :
A) K29.40, B96.81, 88305 x2
B) K29.50, B96.81, 88305, 88312
C) K29.40, B96.81, 88305
D) K29.40, B96.81, 88305x2, 88312 x2
Correct Answer:
Verified
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MACROSCOPIC
Specimen type: Radical nephrectomy
Laterality:
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Pre-operative Diagnosis: Severe squamous
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Specimen site: Left
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Diagnosis: Invasive
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Gross description: Received
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