AMA CPT® Assistant - 1994 Issue 3 (Fall)
Breast Biopsy, Aspiration of Breast Lesion, Fine Needle Aspiration (Fall 1994)
Fall 1994 pages 18-20 Breast Biopsy, Aspiration of Breast Lesion, Fine Needle Aspiration How to distinguish between a puncture aspiration of a breast cyst, a needle core biopsy of the breast and fine needle aspiration of breast tissue is a question often raised by coders. This article will describe the difference between these procedures as well as discuss the two new codes (19125, 19126) for excision of a breast lesion that has been identified by pre-operative placement of a radiological marker. A glossary of terms related to this article is on page 20. Puncture Aspiration of Breast Lesion Codes...
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Article Overview
This Fall 1994 CPT Assistant article is a breast-procedure coding guide for clinicians, coders, and billing staff. It compares common breast aspiration and biopsy approaches, discusses preoperative needle localization and lesion excision, and includes a glossary of related terms. The article is useful for understanding which breast-related procedures are described by older CPT guidance and how the discussion is organized around procedure type and documentation review.
Why This Topic Matters
Breast procedures can be documented in similar ways but represented by different CPT services. This article helps readers understand the scope of the procedures discussed in the source guidance and locate the relevant coding topics before reviewing the full premium text.
Article Sections
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Puncture Aspiration of Breast Lesion
Covers aspiration of breast cysts and the related discussion of reporting for multiple or bilateral services. The section distinguishes this procedure from other breast sampling methods.
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Fine Needle Aspiration
Reviews the fine needle aspiration technique, specimen handling approaches, and the broad distinction between superficial and deeper tissue guidance discussed in the article. It also places the topic in the context of related breast and non-breast sites.
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Breast Biopsy
Describes needle core and incisional biopsy approaches for breast lesions and contrasts them with other sampling methods. The section also notes related breast procedure coding references.
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Placement of Needle Localization Wire
Explains the preoperative localization topic for breast lesions detected on imaging and discusses the relationship between placement and radiological supervision and interpretation. The section addresses single and additional lesion scenarios at a high level.
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Excision of Lesion Identified with Radiological Marker
Summarizes the post-localization excision topic for breast lesions identified with a radiological marker. The section focuses on the article’s discussion of the excision service and associated add-on context.
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Biopsy of Skin, Subcutaneous Tissue and/or Mucous Membrane
Provides the article’s comparison between a general biopsy code family and more specific breast biopsy topics. It explains why the broader biopsy discussion is included in the article.
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Diagnosing Breast Lesions
Discusses the factors that influence which breast sampling or biopsy approach may be documented. The section emphasizes the article’s overview of clinical decision context without giving case-specific instruction.
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Glossary of Terms
Lists term definitions used to support the article’s breast procedure discussion. The glossary is limited to background terminology relevant to the source text.
What You Will Learn
- How the article organizes breast aspiration, biopsy, localization, and excision topics.
- Which general breast procedure categories are compared in the source guidance.
- How the article frames related terms and documentation context for breast lesion workup.
- What supplemental glossary material is included with the procedure discussion.
Who Should Read This
- Medical coders
- Billing specialists
- Clinical documentation staff
- Physicians and surgeons
- Radiology and pathology support staff
Codes Discussed
Modifiers Discussed
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