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19103 deleted

Pessie Posted Mon 13th of January, 2014 21:58:39 PM

I would like to get help in coding the following claim with the new substituting codes:
19103
19295
g0206
76942
10002 59
76645
76942 59
Your help is greatly appreciated.

SuperCoder Answered Mon 13th of January, 2014 22:12:28 PM

2014 brings in new codes for breast biopsy that will require you to count lesions biopsied and also to confirm what imaging guidance your radiologist used. Here is how you can acquaint yourself of these changes and prepare for flawless reporting of breast procedures.

“The new codes were created by the Relative Value Scale Update Committee’s (RUC) Relativity Assessment Workgroup (RAW) based on procedures which are performed together most (75%) of the time,”

You assign the codes based on the type of guidance utilized and the number of lesions.” These codes are structured much like the placement of the localization device codes. They too require the use of a primary CPT® and add-on code for each additional lesion. The new codes are as follows:

Codes 19081, 19083, and 19085 are for percutaneous biopsy of the first lesion in the breast. “You select CPT® codes 19081, 19083, and 19085 for the first lesion based on the imaging modality,” says Hembree. For each additional lesion biopsied, you report codes +19082 (……..each additional lesion, including stereotactic guidance [List separately in addition to code for primary procedure]), +19084 (……each additional lesion, including ultrasound guidance [List separately in addition to code for primary procedure]), +19086 (…………each additional lesion, including magnetic resonance guidance [List separately in addition to code for primary procedure]) for stereotactic, ultrasound, or MRI guidance, respectively.

Remember: CPT® codes +19082, +19084 and +19086 are add-on codes and will only be reported in addition to the primary procedure code.

Practical benefits: The new codes will help to simplify your breast biopsy reporting. “The new codes are all inclusive,”

Currently, Part B Medicare does not reimburse for a clip placement (CPT® 19295) when performed in an outpatient hospital setting (POS 22); this policy typically inflates the practice’s AR. We hope the new codes will balance things out.”

Nix These Biopsy Codes in 2014

Next year, biopsy codes get more specific in the number of lesions and imaging used. “Coders will no longer have to choose their codes according to the type of biopsy, i.e. needle core or vacuum-assisted, which should simplify the coding process,”.

Note that CPT® will delete the following breast biopsy codes effective Jan. 1, 2014:

19102 (Biopsy of breast; percutaneous, needle core, using imaging guidance)
19103 (Biopsy of breast; percutaneous, automated vacuum assisted or rotating biopsy device, using imaging guidance)
Besides biopsy codes, the following codes for breast procedures will also be deleted in 2014.

19290 (Preoperative placement of needle localization wire, breast)
+19291 (Preoperative placement of needle localization wire, breast; each additional lesion [List separately in addition to code for primary procedure])
+19295 (Image guided placement, metallic localization clip, percutaneous, during breast biopsy/aspiration [List separately in addition to code for primary procedure])
77031 (Stereotactic localization guidance for breast biopsy or needle placement [e.g., for wire localization or for injection], each lesion, radiological supervision and interpretation)
77032 (Mammographic guidance for needle placement, breast [e.g., for wire localization or for injection], each lesion, radiological supervision and interpretation) 

Pessie Posted Tue 14th of January, 2014 09:54:33 AM

in the above claim,10002 was entered in error, we meant to code 10022 is that allowed in this claim? You didn't address the G0206 either. Thanks

SuperCoder Answered Wed 15th of January, 2014 10:14:24 AM

Only 19081,19086 76645 will be coded

Rest all codes will be bundled.

Pessie Posted Sun 19th of January, 2014 13:17:21 PM

are you sure about coding 19086 in this scenario?

SuperCoder Answered Thu 23rd of January, 2014 16:17:10 PM

I would like to see the complete documentation in your case. Please provide.

Thanks,

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