Surgery: Integumentary System (Q&A) (March 2010)

March 2010 page 9b Surgery: Integumentary System (Q&A) Question: Are codes 19102 and 19103 reported once per biopsy?  Answer: Code 19102, Biopsy of breast; percutaneous, needle core, using imaging guidance, and code 19103, percutaneous, automated vacuum assisted or rotating biopsy device, using imaging guidance, are reported based on the number of sampled lesions, not the number of obtained samples taken for pathological analysis. Since malignant cells may be found in one area of a lesion but not in another, multiple passes into the same lesion may be taken in order to ensure that the lesion is appropriately...

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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 March 2010 Q&A article addresses coding topics in the integumentary system section of CPT. It is useful for coders, billers, and compliance staff who need a high-level understanding of how the article discusses breast procedures, radiologic guidance, reconstruction-related reporting, post-mastectomy catheter placement, and lesion destruction topics. The article focuses on selected coding scenarios and clarifications rather than a comprehensive review of the specialty.

Why This Topic Matters

The article highlights coding questions that can affect reportable services in breast surgery and skin lesion treatment. It helps readers determine whether the full article contains guidance relevant to procedure coding, separate reporting, and related breast and dermatologic services.

Article Sections

  1. March 2010 page 9b

    Introductory page reference for the Q&A content in the integumentary system section.

  2. Question: Are codes 19102 and 19103 reported once per biopsy?

    Discusses breast biopsy reporting in relation to sampling and imaging guidance.

  3. Question: What are the appropriate codes to report for a breast reconstruction with latissimus dorsi flap and with tissue expander?

    Covers breast reconstruction reporting and related prosthesis considerations.

  4. Question: What code should be used when an expandable radiotherapy catheter device is placed in the tumor cavity at the time of partial mastectomy or at a later date?

    Addresses catheter placement timing in relation to partial mastectomy and associated reporting topics.

  5. Question: Our practice uses a topical immunomodulator to treat actinic keratosis. Would it be correct to report the 17000, 17003 and 17004 code series for this service?

    Reviews a question about treatment of premalignant lesions and related lesion-destructive procedure coding.

What You Will Learn

  • Which broad CPT topics are discussed in the March 2010 integumentary system Q&A
  • How the article frames breast biopsy reporting questions
  • What general breast reconstruction and prosthesis topics are addressed
  • What timing-related catheter placement topic is covered after partial mastectomy
  • What lesion treatment topic is discussed for premalignant skin conditions

Who Should Read This

  • Medical coders
  • Coding auditors
  • Biller/revenue cycle staff
  • Compliance professionals
  • Physician documentation and coding staff

Codes Discussed

  • CPT: 19102
  • CPT: 19103
  • CPT: 76942
  • CPT: 19361
  • CPT: 19340
  • CPT: 19357
  • CPT: 19296
  • CPT: 19297
  • CPT: 19298
  • CPT: 19301
  • CPT: 19302
  • CPT: 17000
  • CPT: 17003
  • CPT: 17004

Code Ranges Discussed

  • CPT: 17000-17004

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