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Stereotactic breast biopsy

  1. #1
    Default Stereotactic breast biopsy
    Medical Coding Books
    I'm getting all my breast & image guidance procedures mixed up (new to it). Can I please get a second opinion on the following procedure:

    I have a patient who had a stereotactic core needle biopsy (vacuum assisted Mammotome used) done with position confirmed with stereo views. A marker was placed and was in correct position on post biopsy lateral and craniocaudal views. The marker placement and verification of position was dictated as a separate report. Our facility charged an additional diagnostic mammogram for this post biopsy marker placement mammogram.

    I do not feel this post mammo should be reported but wanted to get some opinions. Also, is the statement "a marker was placed" sufficient to code the 19295?

  2. #2
    19103 for the mammotome procedure -
    add the imaging guidance used (76942, 77012, 77021, 77031-77032)
    19295 for the marker and
    77055 for the post mammogram

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