Coding Brief: Breast Localization Clips Placement and Mastectomy Procedures (May 2021)

May 2021 page 11 Coding Brief: Breast Localization Clips Placement and Mastectomy Procedures For the Current Procedural Terminology (CPT®) 2018 code set, a new parenthetical note was added to the Breast subsection of the Integumentary System section that states: “[i]ntraoperative placement of clip[s] is not separately reported.” Since publication of these changes, there have been questions about when to correctly report percutaneous placement of breast localization device(s) (19281-19288), such as a clip, when performed the same day but prior to a mastectomy procedure (19301-19307). This coding brief will clarify appropriate reporting of these separate services when performed...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews CPT guidance on breast localization device placement in relation to mastectomy procedures. It is aimed at coding professionals who need to understand the scope of the CPT breast subsection updates, the timing of percutaneous placement relative to open breast procedures, and the general reporting considerations discussed by the source. The article focuses on a clarification brief from CPT Assistant and covers the broader context of breast localization, image guidance, and mastectomy-related coding guidance.

Why This Topic Matters

This topic matters because breast localization services and mastectomy procedures can occur on the same day, and coders need to know how the CPT breast subsection guidance addresses those scenarios. The article helps readers recognize the type of service relationship being discussed and the coding framework involved.

What You Will Learn

  • The CPT breast subsection guidance referenced in the brief
  • How the article frames percutaneous localization device placement in relation to mastectomy procedures
  • The general distinction between intraoperative and pre-service work discussed by the source
  • The role of image guidance in the scenarios described
  • Which professional audiences may need to apply this clarification

Who Should Read This

  • Medical coders
  • Coding auditors
  • Charge capture staff
  • Physicians and surgeons
  • Radiology professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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