Wiki Lump in rt thigh??

[Lynda Wetter]

Any CPT help/suggestions is greatly appreciated!!



Reason For Visit: LUMP IN RT THIGH*
*
Informed consent was obtained. 2.5 cm diameter oval hypoechoic solid
mass in the medial right upper thigh was localized under ultrasound
guidance. This is the palpable lesion felt by the patient. 1%
lidocaine was used for superficial local anesthesia. Under ultrasound
guidance, 2 core biopsies were obtained through the mass with an
18-gauge Biopince biopsy gun. Material was submitted on slides and in
saline.*
*
Impression: Ultrasound guided core biopsy of solid mass in the medial
right upper thigh.*
*
*

 

[RonMcK3]

Needle Biopsy & US Guidance

How about the following?

• 27323 Biopsy, soft tissue of thigh or knee area; superficial
• 76942 Ultrasound guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation

You might add -RT to 27323 but it may not be required. Add 26 (prof component) modifier to 76942 if US equipment belongs to facility and their person handled it.

 

[Lynda Wetter]

I'm not to sold on 27323 that code is under the excision category and this was not an excision biopsy!!??
Thanks

 

[RonMcK3]

My bad

Looking at the CPT, again, I realize that I didn't read far enough. A couple of lines down, we have the following parenthetical:
.

(For needle biopsy of soft tissue, use 20206)
​

Sorry for the misdirection,