Does anyone have any suggestions on how to bill for a vacuum assisted breast biopsy WITHOUT imaging guidance? The device used is a Celero spring loaded vacuum assisted core biopsy device. I tried calling their coding hotline but they could only give me the codes w/guidance. I'm also not sure what CPT means when they say AUTOMATED for code 19103. Should I ignore the type of device since it doesn't say automated and bill 19100? Should I put a modifier -52 on 19103 since guidance isn't used? OR, my least favorite, use 19499? Any input would be much appreciated!