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Wiki same code or not?

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Tustin, CA
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A radiology report I received listed procedure code 19295 only - an add on code which is why it came to me for editing. But my question is this, the report indicated the work was being done as a set up for chemotherapy, not for a biopsy - so even though the actual physical procedure was identical to codes 19290,19295 --the reason it was being done was different - does the code still stand or should it be changed to 19499? Any help on this is appreciated!
 
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