Radiology Coding Alert

You Be the Coder:

Check Coding Guidance for Bilateral FNA Biopsy Services

Question: Our provider performed a bilateral ultrasound (US)-guided fine needle aspiration (FNA) biopsy of the breasts. The operative report goes into full detail for aspiration of the right breast, but only indicates that “a similar procedure was performed on the left side.” Is this enough documentation to support a bilateral procedure? If so, how should I report the codes? Utah [...]
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