AMA Clinical Examples in Radiology - 2013 Issue 4 (Fall)
Radiology Test Case Answer
Radiology Test Case Answer 19103 Biopsy of breast; percutaneous, automated vacuum assisted or rotating biopsy device, using imaging guidance 19295 Image guided placement, metallic localization clip, percutaneous, during breast biopsy/aspiration (List separately in addition to code for primary procedure) 77031 Stereotactic localization guidance for breast biopsy or needle placement (eg, for wire localization or for injection), each lesion, radiological supervision and interpretation 76098 Radiological examination, surgical specimen G0206 Diagnostic mammography, producing direct digital image, unilateral, all views Discussion Stereotactic-guided, vacuum-assisted core biopsy performed before January 1, 2014, should be reported with Current Procedural Terminology (CPT ® ) code 19103...
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Article Overview
This article reviews a breast radiology test case and compares reporting before and after major CPT code changes that took effect in 2014. It is useful for radiology coders, breast imaging staff, and compliance teams who need to understand the scope of bundled breast biopsy and localization services, related imaging guidance, and the interplay between CPT and HCPCS reporting. The discussion also highlights how the article handles Medicare policy context, code family revisions, and cross-reference notes added for consistency.
Why This Topic Matters
Breast biopsy and localization coding changed significantly in 2014, and this article helps readers understand the transition from older standalone reporting to newer bundled code families. That matters for accurate claim submission, avoiding unbundling errors, and aligning reporting with payer-specific requirements.
Article Sections
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Discussion
Overview of a breast imaging coding scenario and how it is addressed across different reporting periods. The section discusses code family changes, bundled services, and related payer context.
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References
Source citations supporting the coding discussion and example material.
What You Will Learn
- How the article frames a breast radiology coding test case
- Which code families are discussed for older versus newer reporting periods
- How the article addresses bundled imaging guidance and related breast procedures
- What general payer and policy context is mentioned for the scenario
- How cross-reference notes and guideline changes are presented in the discussion
Who Should Read This
- Radiology coders
- Breast imaging departments
- Coding auditors
- Revenue cycle professionals
- Compliance staff
- Payer policy reviewers
Codes Discussed
Code Ranges Discussed
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