AMA Clinical Examples in Radiology - 2026 Issue 2 (Spring)
Ultrasound-Guided Cryoablation of Breast Fibroadenoma
Spring 2026 pages 1-6 CLINICAL EXAMPLE 1 Ultrasound-Guided Cryoablation of Breast Fibroadenoma CLINICAL INDICATION A 37-year-old female with a biopsy-proven left breast fibroadenoma presents with symptoms of pain and a palpable mass. She prefers minimally invasive treatment over surgical excision. PROCEDURE Ultrasound-guided cryoablation of the left breast fibroadenoma TECHNIQUE Informed consent was obtained. Before starting the procedure, the universal protocol was performed to confirm the patient's identity and the planned procedure. Initial imaging demonstrates a 1.5-cm mass in the left breast at the 3 o'clock position, 5 cm from the nipple. This corresponds to the biopsy-proven fibroadenoma. The...
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Article Overview
This premium article focuses on coding a breast fibroadenoma cryoablation case performed with ultrasound guidance. It is relevant to professional coders, billers, and clinicians who need to understand the applicable CPT, HCPCS Level II, ICD-10-CM, and Medicare-related reporting considerations discussed in the example.
Why This Topic Matters
Accurate reporting for minimally invasive breast procedures depends on matching the documented service with the appropriate procedure and diagnosis code family, while also accounting for coding edits and payer-specific billing considerations.
Article Sections
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Clinical Example 1
A single case example presents the documented procedure context, imaging use, and post-procedure outcome for a breast fibroadenoma treatment scenario.
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How to Code
This section discusses the related procedure, add-on, diagnosis, and Medicare billing topics associated with the case, along with broader reporting considerations.
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Discussion
This section provides broader background on the procedure type, related coding categories, payer considerations, and diagnosis specificity.
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Sources
The cited reference materials supporting the article are listed here.
What You Will Learn
- How the article frames coding for a breast fibroadenoma cryoablation case
- Which coding families are discussed for the procedure and diagnosis
- What general Medicare and payer-related topics are addressed
- How the article positions diagnosis specificity and laterality as documentation topics
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Physician documentation staff
- Breast imaging and interventional procedure practices
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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