Please explain this case study and how answer is obtained. A 78-year-old-patient
ID: 245173 • Letter: P
Question
Please explain this case study and how answer is obtained.
A 78-year-old-patient is scheduled for a transbronchial needle aspiration fluoroscopic guidance for a lung mass. Following the administration of conscious sedation by the anesthetist, the patient experiences a run of atrial fibrillation, and the physician elects to terminate the procedure before the biopsy is obtained. The proce- dure is done in the hospital's same-day surgery department. biopsy with Which of the following shows correct ICD-10-CM and CPT code assignment for physician services? a. D49.1, Z53.09, 31629, 76000 b. R91.8, 148.91, 31629-52 c. R91.8, 148.91, Z53.09, 31628-53 d. R91.8, 148.91, Z53.09, 31629-53Explanation / Answer
The correct ICD-10-CM and CPT code assignment for Physician services d. R91.8,I48.91,Z53.09, 31629-53
Step 1:
a. D49.1 - It is a code for neoplasm of unspecified behavior of the respiratory system.
Z53.09 - Procedure or the treatment are not carried out.
31629 - Bronchoscopy rigid or flexible, including fluoroscopic guidance with transbronchial needle aspiration biopsy.
76000 - Other radiology related procedure.
This is not appropriate code for the physician service.
Step 2:
b. R91.8 - the Non-specific abnormal finding of the lung field.
148.91 - Unspecified atrial fibrillation.
31629-52 - Bronchoscopy rigid or flexible, including fluoroscopic guidance with transbronchial needle aspiration biopsy. 52 represents the bronchial biopsy of one or two mediastinal and/ or hilar lymph node structures.
This is also not appropriate ICD-10-CM code.
Step 3:
c. R91.8 - the Non-specific abnormal finding of the lung field.
I48.91 - Unspecified atrial fibrillation.
Z53.09 - Procedure or the treatment are not carried out.
31628-53 - 31628 denotes Bronchoscopy, rigid or flexible, including fluoroscopic guidance, with transbronchial lung biopsy(s), single lobe
This is not an appropriate code.
Step 4:
d. R91.8 - the Non-specific abnormal finding of the lung field.
I48.91 - Unspecified atrial fibrillation.
Z53.09 - Procedure or the treatment are not carried out.
31629-53 - Bronchoscopy rigid or flexible, including fluoroscopic guidance with transbronchial needle aspiration biopsy. 53 denotes the biopsy of three or four mediastinal or hilar lymph node structure.
This is the appropriate code for the Physician service.
Therefore option d. R91.8, I48.91, Z53.09, 31629-53 is the correct answer.