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multiple lesions

Pessie Posted Wed 14th of May, 2014 21:43:47 PM

Please advise on how to code 19081 on 2 nodules on right 2 nodules on left. ( 4 nodules in all) do we need to code 19082 3xs? do we need modifier? Thank You

SuperCoder Answered Thu 15th of May, 2014 11:48:57 AM

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.

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,. 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.

Your set of codes would be :

19081
19082
19082-59
19082-59

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