AHA Coding Clinic® for HCPCS - 2015 Quarter 1
Breast codes: Reporting update
Last year on January 1, 2014, new CPT codes and basic coding guidelines for the reporting of surgical breast procedures, was created by the American Medical Association (AMA). In our Second Quarter 2014 issue of AHA’s Coding Clinic for HCPCS, we shared this information with our readers. As with anything new, revisions and updates are inevitable and coding is no different. When codes are created the concern is how to report them correctly. Since the implementation of these new CPT codes the AMA has published errata with additional guidance to assist in the coding and reporting of the...
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Article Overview
This premium article explains a follow-up update to CPT breast procedure reporting guidance released by the AMA and referenced in AHA’s Coding Clinic for HCPCS. It focuses on the scope of the errata, the affected CPT code ranges, and broad reporting considerations for multiple procedures, bilateral services, and related breast biopsy and localization device placement topics. It is intended for coding professionals who need to understand how the updated guidance fits into breast procedure reporting.
Why This Topic Matters
Breast procedure coding changed with the introduction of new CPT reporting guidance, and the article helps readers understand the later errata that clarified how the affected services are organized. It matters for coders and billing staff working with breast biopsy and localization device procedures who need to stay current with CPT updates and AMA guidance.
Article Sections
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Multiple Breast Biopsies
Discusses the update’s scope for reporting multiple breast biopsy services and the general handling of same-modality and multi-modality scenarios. The section also references the related CPT biopsy code group.
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Placement of Breast Localization Devices
Covers the update’s scope for reporting multiple localization device placement services and the general handling of same-modality and bilateral situations. The section also references the related CPT localization device code group.
What You Will Learn
- What the article says about the scope of the AMA errata update
- Which breast procedure code groups the update addresses
- What broad reporting topics are discussed for multiple breast biopsy services
- What broad reporting topics are discussed for localization device placement services
- Which organizations and reference sources are mentioned in connection with the update
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Compliance teams
Codes Discussed
Code Ranges Discussed
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