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Radiology Coding Alert

Reader Question:

76098 Applies to Stereotactic Biopsy Sample

Question: May I report 76098 for specimen review during stereotactic biopsy? Member Answer: Yes, you may report 76098 (Radiological examination, surgical specimen) when the radiologist examines a tissue specimen removed during surgery, regardless of which body part the specimen originated from. The radiologist uses X-ray technology to examine the specimen, looking for evidence that the physician removed the complete area of interest for pathologic examination. Keep in mind: Like many radiology codes, 76098 has a professional and technical component. If you're reporting only the professional component (because the service took place in a facility), append modifier 26 (Professional component) to 76098 to ensure the proper reimbursement level.