AMA CPT® Assistant - 2016 Issue 12 (December)

Surgery: Integumentary System (Q&A) (December 2016)

December 2016 page 16 Surgery: Integumentary System Question: What CPT code should be used to report a breast biopsy, when the only guidance used is tomographic guidance? Answer: Currently there is no CPT code available to report a tomographic-guided breast biopsy. Therefore, when tomosynthesis is the only imaging guidance used during the breast biopsy, code 19499, Unlisted procedure, breast, should be reported. When reporting an unlisted procedure code, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure, and the time...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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