tci Part B Insider - 2013 Issue 31

Reader Question: Avoid Mammography Codes for Breast Biopsies

Question: Our physician performed a breast biopsy and placed a metallic localization clip using radiologic guidance. He then confirmed the clip placement on a mammogram. How can we report this? Can we report the mammogram separately? Answer: Depending upon the type of radiological guidance used, you may report code 77021 (Magnetic resonance guidance for needle placement [e.g., for biopsy, needle aspiration, injection, or placement of localization device] radiological supervision and interpretation), 77012 (Computed tomography guidance for needle placement [e.g., biopsy, aspiration, injection, localization device], radiological supervision and interpretation), 77031 (Stereotactic localization guidance for breast biopsy or needle...

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