AMA CPT® Assistant - 2014 Issue 6 (June)

Radiology: Breast, Mammography (Q&A) (June 2014)

June 2014 page 14c Radiology: Breast, Mammography Question: With the creation of bundled codes for image-guided breast procedures, is it appropriate to report a post-procedure mammogram after a breast biopsy? Answer: When medically necessary, it is appropriate to report a post-procedure mammogram after an image-guided breast biopsy, but only when the biopsy is performed with a modality other than mammography. Unlike a specimen radiograph (in which tissue removed during a biopsy is examined with radiography, usually to confirm the presence of calcifications), a post-procedure mammogram is performed after (rather than during) an image-guided core-needle biopsy or needle localization. In...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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