tci General Surgery Coding Alert - 2005 Issue 9

Here's How to Check Your Breast Biopsy Coding Success

Needle size can help you make the choice between aspiration and biopsyCoding a breast biopsy often means coding for more than just a breast biopsy. To be sure that you haven't overlooked any reportable procedures, look to this handy checklist. Identify the Primary Procedure When the surgeon performs breast biopsy through the skin using a needle, scalpel, or rotating biopsy device, you should select from among six codes:10021 - Fine needle aspiration; without imaging guidance10022 - ... with imaging guidance19100 - Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) 19101 - ... open incisional19102 - ... percutaneous, needle...

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