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Thread: Help Coding Biopsy

  1. #1

    Default Help Coding Biopsy

    AAPC: Back to School
    What CPT Code would you use???

    Reason for exam- CT Guidance to obtain paraspinal thoracic, lung mass biopsy

    Under CT guidance, utilizing sterile technigue, and local anesthesia, multiple core biopsies via posterior approach were obtained from the area. Thoracic mass area on the left. This was evaluated by laboratory personnel on site. Post scanning revealed no significant change. No pneumothorax. Patient tolerated the procedure well and left are without complaint.

    Thank you-Krista-CPC-A

  2. #2
    Join Date
    Apr 2007
    Fort Worth Texas


    21550 for the biopsy
    77012 for the CT guidance

    I work for a Radiology IDTF and that is all we would bill per your small report. If you work in a hospital you would need anesthesia code and drugs used.

    Also depending on what type of scan was done post biopsy we would also bill that. Like if it was an MRI or something. Usually that would be on a separate report for us.

    I hope this helps.

  3. #3
    Join Date
    Apr 2007
    Casper, Wyoming


    If it's a lung mass, wouldn't you use 32405? I can see the use of 21550 if it's soft tissue in the neck or thorax but in the original post it says lung mass. I just want to clarify.

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