Clinical Example: Ultrasound-Guided Fine Needle Aspiration, Core Biopsy, and Clip Placement in the Right and Left Breasts

Why This Topic Matters

Breast procedure coding often involves multiple services on the same encounter, and this article explains how the imaging and biopsy components are presented in a practical case example. It helps readers understand the scope of the procedure types and the related coding references discussed in the narrative.

Article Sections

1. Clinical Example 1

   Introduces the breast imaging case and the overall procedural scenario for the encounter.

2. Clinical History

   Summarizes the imaging findings that led to the procedures described in the example.

3. Procedure

   Outlines the general breast procedures performed during the case.

4. Technique

   Describes the procedural approach used for the bilateral breast interventions.

5. Right Breast Digital Mammogram

   Describes the postprocedure breast imaging performed to assess the biopsy site and clip position.

6. How to Code

   Presents the coding references associated with the example and summarizes the related reporting context.

7. Discussion

   Provides broader coding guidance, documentation considerations, and references to policy and CPT guidance related to the example.

8. Sources

   Lists source publications and reference materials cited in the article.