liver biopsy and fiducial markers placed

astephens

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Local Chapter Officer
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Looking for some direction, it is also okay to tell me I am overthinking. Per op note listed below, should I be coding the placement of fiducial markers; and if so, what codes should I use?
Thanks in advance
Localizing CT demonstrated multiple hepatic hemangiomas, with an atypical, hypoattenuating lesion in the right hepatic lobe measuring approximately 2.2 x 1.3 cm.

The lesion in question shows subtle peripheral vascularity, but no filling on any phase.

The skin over the target area was cleansed with Chlorhexidine. Local anesthesia was obtained using 1% lidocaine, superficially and at depth.

Using aseptic technique, a 20 gauge core needle was advanced into the lesion under CT guidance. A total of 6 specimens were obtained from the lesion.

Next, 2 fiducial markers were placed adjacent to the lesion.
 

luhre

Networker
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Syracuse, NY
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Coding Data Analyst, CPC

Definitely 47000, I thought you were just questioning the placement of fiducial markers.
 
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