Preoperative Diagnosis: Kidney Mass
Postoperative Diagnosis: Kidney Mass
Operation: Kidney Biopsy
Operation Description: A 20-year-old male was noted to have a kidney mass per the ultrasound results. Patient was advised to have a kidney biopsy of the mass. All risks understood and consent obtained. The patient was prepped in the outpatient surgical unit. A single needle biopsy was obtained of the kidney. The radiologist assisted the surgeon with the procedure. The kidney biopsy was sent to the pathology department. The patient entered the recovery room in stable condition.
Select the appropriate CPT and ICD-10-CM codes for the service(s) of the surgeon only.

Question

Quizplus · Accepted Answer

The correct CPT code for a kidney biopsy performed by a surgeon is 50200, which specifically refers to a percutaneous needle biopsy of the kidney. The ICD-10-CM code N28.89 is appropriate for the unspecified kidney mass, as it denotes other specified disorders of the kidney and ureter, which would include a mass of unspecified nature until a definitive diagnosis is made post-biopsy.