AAPC - Back to school
Results 1 to 8 of 8

Thread: needle localization wire - non breast

  1. #1
    Join Date
    Apr 2007
    Danville PA

    Default needle localization wire - non breast

    AAPC: Back to School
    Report states:

    With CT guidance, an 8 cm mammographic localization wire was positioned with its
    tip just deep to the node and the thickened reinforced part of the wire within the
    node itself.

    19290 specifically states breast. Any references for this or an idea of an unlisted code?

    Thank you!

  2. #2


    Was it for identification of the node or for therapy point of view. Was it an axillary node?
    As you said both the needle and metallic clip localization are for breast.

    So,with the info we got now, can you try for the code- 38792- which is injection procedure for identification of sentinel Node. for imaging you could go for the 78195 lymphatic and lumph node imaging

  3. #3
    Join Date
    Apr 2007
    Danville PA


    It's an enlarged axillary node but not for sentinal identification. Pt had a bx previously but samples were nondiagnostic.

  4. #4


    Enlarged axillary node, previous(recent Hx of breast biopsy) with undetermined report, all that goes for a suspected node and all the more do not know what lays there in the breast.
    What was the purpose/intention of placing the wire or the diagnosis from the document. Check whether 77012 alone would do?
    Was it correlated with yet another repeat biopsy of the Breast?
    Can you give the whole documented report to get better. If not, I feel that you have to query your physician whether it can be placed as an mandatory test for Biopsy breast
    Last edited by preserene; 11-18-2010 at 01:26 PM.

  5. #5


    Having said that I had been thinking of the real urging medical necessity for the procedure for the physician to accomplish; medical necessity in the sense that with the scenario given forth, I wonder why the lesion in the axillary node with all its suspesion can not be correlated with Breast lesion and consider the axillary node lesion as one related to breast lesion. May be it is an axillary tail of the breast components !!??
    If I make some sense in this, when a lesion can be preoperatively marked by placing thin wire (radiologic marker) down to the lesion (19290), the lesion in the axillary region be it lymph draining that area of the breast, or the tail of the axillary region of breast tissues, we can CODE IT AS 19290, for any of these lesions.
    Also I would like to say that the breast tissues components are: the four quadrants , areola and nipple area, and the axillary tail of the breast.
    Having that in mind the code 19290 can be thoughtfully appropriated for the wiring of the axillary region mass, be it lymph tissues/lymphatics draining the axillary tail and the upper quadrant preoperatively, once the doctor feels or finds the medical necessity for that. WHY NOT? Hi, it is only a suggestion.
    Discuss with your physician; you would come to the answer for this real challenge.
    Thank you for listening!

  6. #6
    Join Date
    Apr 2007
    Fayetteville, NC


    Was a biopsy performed this time?
    Without any more information I would suggest the unlisted code 38999.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  7. #7

    Default CT Guided wire localization for GGO in the lung

    Need to find a code for CT Guided wire localization of lung mass prior to the surgeon performing the VATS wedge resection of the wired mass. I have found codes for breast wire localization but not for the lung. The radiology dept said they would code the wire placement using the 77012. Is this the appropriate code to use.

  8. #8

    Default 10035

    In 2016 we have a new codes like
    10035- Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle,
    radioactive seeds), Percutaneous, including imaging guidance; first lesion
    +10036 ; each additional lesion (List separately in addition to code for primary procedure).

    my suggestion is 10035.

Similar Threads

  1. breast US guided needle localization
    By cknighton@fchn.org in forum General Surgery
    Replies: 2
    Last Post: 02-13-2014, 09:24 AM
  2. Needle Localization breast biopsy x4-HELP
    By prpl282 in forum General Surgery
    Replies: 0
    Last Post: 10-29-2013, 06:43 AM
  3. Needle localization of breast
    By codedog in forum General Surgery
    Replies: 4
    Last Post: 05-23-2011, 10:57 AM
  4. needle localization breast biopsy
    By Miagirl78 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-03-2011, 10:16 AM
  5. Rt Breast Bx with needle localization
    By Trendale in forum General Surgery
    Replies: 3
    Last Post: 07-10-2008, 08:08 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.