Breast Procedures / Use 59 for breast biopsy done during staged procedure

Article Overview

This article explains general billing and bundling considerations for breast biopsy and mastectomy when both services occur during the same course of care. It is aimed at medical coders, billing staff, and compliance teams who need to understand how payer edits, staged-procedure scenarios, and Medicare/NCCI guidance may affect claim reporting. The discussion stays focused on the circumstances under which the procedures may be considered separately or bundled, without providing a complete coding reference.