Anesthesia Coding Alert

Reader Question:

CT Scan With Biopsy

Question: Should we use a modifier when billing for a CT scan with biopsy? The CPT code is being entered by the ancillary service, not medical records.

New York Subscriber


Answer: Your question suggests that you are billing for the actual procedure, computed tomography scan (CT scan) with needle biopsy. If so, the proper code would be 76360 (computerized tomography guidance for needle biopsy, radiological supervision and interpretation). The RBRVS Guide shows this with no modifier, with modifier -TC (technical component) and/or modifier -26 (professional component). Use the appropriate modifier for your situation.