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BIOPSY CODES

George Posted Tue 18th of October, 2016 12:22:10 PM
PLEASE RESPOND ASAP We are a radiology practice. We do biopsies. Question 1: Breast biopsies done under ultrasound guidance should be done under CPT code 19083. Correct? Question 2: Biopsies done under mammographic guidance should be done under CPT code 19100 with a mammo code added (e.g. g0204, go206 or g0202) is this correct? Please respond as soon as possible. Thank you
SuperCoder Answered Wed 19th of October, 2016 02:14:02 AM

Hi,

Answer 1) Breast biopsies done under ultrasound guidance should be reported with CPT code 19083.

Answer 2) Biopsies done under mammographic guidance should be reported with CPT codes (19081-19082) with the mammography codes in addition (e.g. G0202, G0204 or G0206); when performed.

George Posted Wed 19th of October, 2016 10:51:44 AM
Thanks for the response, but we do not use the stereotactic device which is required and is part of the procedure under 19081 and 19082 codes.
SuperCoder Answered Thu 20th of October, 2016 07:57:52 AM

Hi,

As such we do not have any specific code for Biopsies done under mammographic guidance. You may look in for codes 19281, 19282 basis the documentation.

Also, NCCI states “If a breast biopsy, needle localization wire, metallic localization clip, or other breast procedure is performed with mammographic guidance (e.g., 19281, 19282), the physician should not separately report a post procedure mammography code (e.g., 77051, 77052, 77055-77057, G0202-G0206) for the same patient encounter. The radiologic guidance codes include all imaging by the defined modality required to perform the procedure.”

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