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Wiki BREAST SURGERY

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zaidaaquino

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Centreville, VA
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I have an op report where the surgeon documents CPT 19285 (placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance). The report shows that a Kopans needle was inserted in the lesion under ultrasound guidance. However, the op reports also states that intraoperative ultrasound was used to localize the area of concern and indicates the region of the breast. Is this enough documentation for CPT 76998 -26 (Ultrasonic guidance, intraoperative) to show medical necessity?

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