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localization

  1. Default localization
    Medical Coding Books
    Do we have any particular code for the below procedure or can we code this as a bone biopsy??

    CT-guided localization at 2 levels, targeting the right first and
    sixth ribs

    The patient's prior CT scan was reviewed and the ribs counted from
    top to bottom. It is noted there is a small cervical rib on the
    right side, not on the left. Aside from the from the right
    cervical rib, there are an additional 12 ribs on each side.

    Under CT guidance,
    11-gauge bone biopsy needles were advanced into the marrow cavity
    of the right first and sixth ribs, adjacent to the junction with
    the transverse processes. Upon confirmation of position of the
    bone biopsy needles in the medullary cavity, a 22-gauge Chiba was
    coaxially advanced, and platinum microcoils deployed into each
    rib. Additional images were then demonstrated after removal of the
    needles, confirming good position of the platinum microcoils in
    the right first and sixth rib posteriorly. Sterile dressings were
    applied. No immediate complications.

    Impression: CT-guided localization of right first and sixth rib posteriorly,
    adjacent to the junction with the transverse process. Platinum
    microcoils placed into the first and sixth ribs.
    Note is made of a small right-sided cervical rib.
    Prabha CPC

  2. #2
    Default
    You cannot code for a biopsy since there's nothing in the rpeort to state a biopsy was performed.
    You will have to use an unlisted procedure code.
    Anita W, CIRCC, RCC, CPMA, CPC

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