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Liver biopsy specimen not obtained

Dawna Posted Fri 08th of March, 2013 13:12:28 PM

Hello,

What cpt code do you use if a liver biopsy was performed, but no specimen was obtained?

The operative report reads "No tissue was obtained. Two passes 16 gauge in diameter were made with the Klastskin needle using ultrasound to mark the site. No biopsies or other specimens were collected for this exam."

There is no reason given as to why a specimen was not obtained.

Thanks!

SuperCoder Answered Fri 08th of March, 2013 21:53:57 PM

Code 47000, Biopsy of liver, needle; percutaneous, is the surgical code for a core liver biopsy (with any size needle) performed as a separate procedure. If a liver biopsy is performed as part of another operative procedure, then code 47001 should be reported. Modality specific needle guidance placement code 76942, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation, is reported for the ultrasonic guidance.

Use 47000-52 for this case.

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