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Thread: Breast Biopsy code

  1. #1

    Default Breast Biopsy code

    AAPC: Back to School
    Can someone explain to me the difference between the code 19101 vs 19120.

    My physcian did a breast biopsy, a brief description reads:
    An elliptical skin incision was used to excise an ellipse of skin along with a portion of the underlying mass. The specimen was submitted for frozen section, which confirmed invasive carcinoma.

    In the CDR for 19101-The physcian removes tissue for BX. The mass is often examined imediately. 19120- the physcian excises breast tissue for BX. what is the difference between those two descriptions in the coders desk reference? I was going to use 19101 since the mass was not already determined (suspect mass)until the BX was done, and it was immediately examined after removed. I believe in 19120, the mass has already been examined previously, and the physcian goes in to excise it?

    Thanks in advance!

  2. #2


    If he's excising a portion of the mass then 19101 would be correct, but if he's excising the whole mass (even if it is for a bx) then use the 19120.

  3. #3
    Join Date
    Apr 2007
    Albany, New York


    I agree with DVoyles.......
    Karen Maloney, CPC
    Data Quality Specialist

  4. #4

    Default Reply BX Breast

    Thanks, I appreciate your help!

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