Unanswered Biopsy clarification

[TerezD_89589]

Question: This is a very good question. The CPT codes are still the same, but the ICD-9 code (157.9) converts to the ICD-10 code (C25.9: malignant neoplasm of pancreas, unspecified)

Here is a question from the Carol Buck practice exam . 70-year-old male brought to the operating room for a biopsy of the pancreas. A wedge biopsy is taken and sent to pathology. The report comes back immediately indicating that primary malignant cells were present in the specimen. The decision was made to perform a total pancreatectomy. Code the operative procedure(s) and diagnosis only. Here are the choices A( 48100, 197.8 B) 48155, 157.8 C) 48155, 48100-51, 157.9, and D) 48155, 48100-51, 88308, 157.9



Answer Thread:

Laureen:
A) 48100, 197.8
B) 48155, 157.8

C) 48155, 48100-51, 157.9, and ( This is the right answer but the ICD-10 code converted to C25.9: malignant neoplasm of pancreas, unspecified)

D) 48155, 48100-51, 88308, 157.9

48100 - Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)
48155 - Pancreatectomy, total