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Hi,
Thanks for your question.
As per the limited documentation, if the radiological marker identify three different lesions then code 19125-RT, 19126-RT and 19126-RT will be coded. However, it is not documented in the provided documentation that the patient had three different lesion therefore code only 19125-RT.
Radiological marker placement is one method in which a needle/wire is inserted with the help of radiological guidance (e.g. ultrasound and put into position at the exact location of the tumor. The process commonly uses a 21–gauge Kopans localization needle. The needle is advanced under sonographic guidance and a hook–wire is inserted, advanced, and placed at the site of the tumor. In some cases, a smaller 14–gauge needle is used to place a localizing clip at the site of the tumor under sonographic guidance. The clip is normally contained in a collagen plug. This is used as guidance for excision of the tumor.
In this scenario the radiologist is using localization needle and ultrasound guidance for excision of lesion therefore, intraoperative ultrasound should not be billed.
Hope this helps.
Thanks.
Thanks.
When three different radiological markers or clips are placed on three different lesion and the physician removes the lesions and markers through same incision then codes 19125-RT, 19126-RT and 19126 RT will be coded.
Code 76998 is code for intraoperative ultrasound guidance with MUE of 1. Therefore, the code will be coded only once i.e. 76998-RT.
The codes should be
19125-RT
19126-RT x 2 units
76998-RT
Hope this helps.
Thanks.
Hi,
Since 2 guidewires were used for 3 biopsies therefore codes will be 19125-RT, 19126-RT. Also code 76998 instead of 76882 for intraoperative ultrasound guidance.
Hope this helps.
Thank you, happy to help.