tci General Surgery Coding Alert - 2018 Issue 6

Reader Question: Guide Breast Biopsy Choice by Method

Question: Our surgeon performed a "stereotactic needle core biopsy" of breast tissue, removing three separate biopsies. What is the correct coding for this procedure? Mississippi Subscriber Answer: The correct coding is 19081 (Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance) and two units of +19082 (...each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)). You would use the same coding for stereotactic-guided breast biopsy whether the surgeon uses a needle to remove...

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