Radiology: Radiologic Guidance (Bonus Q&A) (December 2013)

December 2013 page 17b Radiology: Radiologic Guidance Question: With the deletion of code 77032 , {Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and interpretation}, in the CPT 2014 code set, is mammographic guidance and stereotactic guidance reported with the breast aspiration codes 19000 and 19001 ? Are these services still being performed? If a breast cyst aspiration is performed with mammographic guidance, how would this be reported? Answer: Mammographically guided cyst aspiration has been superseded by ultrasound guidance and is no longer typically performed; therefore, code 77032 was deleted for 2014...

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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 premium article addresses a radiology coding question focused on breast procedure guidance, CPT 2014 code set changes, and reporting considerations when a previously existing imaging guidance service is no longer available as a specific code. It is relevant to coders, billers, and radiology documentation staff who need to understand the scope of the guidance changes and the general approach discussed in the Q&A.

Why This Topic Matters

Updates to radiology guidance reporting can affect accurate claim submission, code selection, and documentation review for breast-related procedures. This article helps readers understand the coding impact of a deleted CPT service and the general type of fallback reporting referenced in the guidance.

Article Sections

  1. Radiology: Radiologic Guidance

    A short Q&A on radiologic guidance reporting for breast procedures in the context of CPT 2014 changes. It focuses on how the guidance topic is addressed after a code deletion.

What You Will Learn

  • The article’s focus within radiology guidance coding
  • How the CPT 2014 changes affected a breast imaging guidance topic
  • The general reporting issue discussed for a deleted radiology service
  • The type of coding question raised about breast aspiration with imaging guidance

Who Should Read This

  • Medical coders
  • Radiology billers
  • Coding auditors
  • Revenue cycle staff
  • Radiology department staff

Codes Discussed


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