E/M Coding Alert - 2013 Issue 11
CPT® 2014: Look for New Breast Localization and Biopsy Codes Next Year
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Article Overview
This article explains upcoming CPT 2014 revisions related to breast biopsy and localization procedures. It is aimed at coding professionals, billers, and clinical documentation staff who need to understand how the updated CPT framework organizes breast services by imaging guidance and lesion count. The article covers deleted breast procedure codes, the introduction of new code groupings, and the documentation considerations that support accurate reporting.
Why This Topic Matters
Breast biopsy and localization coding changed significantly in CPT 2014, so readers who report these services need to recognize which legacy codes were removed and how the revised code structure is organized. Understanding the scope of the update helps improve code selection, documentation review, and claims accuracy without relying on outdated references.
Article Sections
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Drop Deleted Codes
This section identifies breast biopsy and localization codes that were removed for 2014 and sets up the transition to the revised code structure.
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Confirm Image Guidance for Localization Devices
This section explains the broad imaging guidance categories used in breast localization coding and introduces how the revised CPT framework distinguishes among them.
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Check to Ensure Documentation Supports Breast Biopsy
This section addresses documentation review for breast biopsy services and describes the relationship between primary and add-on reporting in the updated code set.
What You Will Learn
- How CPT 2014 reorganizes breast biopsy and localization reporting
- Which general imaging guidance categories are discussed for breast localization
- Why documentation review matters for breast biopsy coding under the updated CPT structure
- How the article frames primary and add-on reporting for multiple lesions
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Coding educators
- Clinical documentation review staff
- Breast imaging and surgery practices
Codes Discussed
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