tci General Surgery Coding Alert - 1999 Issue 2

Reader Question: Coding Stereotactic Breast Biopsies

Question: Ive received several answers on how to code the mammotomy and stereotactic breast biopsy. Can you clarify this? Anonymous GA CoderAnswer: Breast biopsy is generally performed by one of the following methodsfine needle aspiration, needle core, incisional or excisional biopsy. The use of a mammotome or ABBI device is considered by most insurers, including HCFA, to represent the work included in an incisional biopsy, but some payers require documentation supporting the existence of a non-palpable lesion, says Cindy Parman, CPC, of Coding Strategies, a physician reimbursement consulting firm in Dallas, GA. This sampling technique uses one puncture site...

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