Results 1 to 2 of 2

Modifier 74 for Liver Biopsy

  1. #1
    Default Modifier 74 for Liver Biopsy
    Exam Training Packages
    Good afternoon coders,
    Our radiologist attempted to do a liver biopsy on one of our inpatients but it had to be discontinued because of patient discomfort. I was thinking it would be 47000 with modifier 74 but I'm not sure. What do you think?

    History: 58-year-old male with newly discovered pancreatic head mass and a right lobe of liver lesion seen on the surface in the MRI scan. The lesion was seen on post contrast MRI scan and on postcontrast CT scan.

    Noncontrast CT scan of the abdomen was performed. The lesion is not visible on noncontrast CT scan. However, the location of the surface contour is comparable to the MRI scan and that was utilized as the target site. The right lateral abdomen was cleansed with Chloraprep solution. Morphine and Ativan was administered for patient discomfort and anxiety. A 19-gauge needle was advanced towards the liver. Prior to advancing through the liver capsule, the patient indicated he was unable to sustain his arm elevated position because of shoulder pain.

    In view of the difficulty for the patient in maintained position for liver biopsy, the liver biopsy procedure was canceled. The 19-gauge guide needle was removed. A Band-Aid was placed. Completion CT scan showed no evidence of bleeding.


    1. Noncontrast CT scan shows isodense appearance of the liver without focal lesion.

    2. Contour change at the surface of the right lobe of the liver at the site of expected liver lesion based on MRI scan was identified.

    3. Due to the patient's inability to maintain arm elevated position for the procedure, despite morphine and Ativan, the biopsy procedure has been canceled. The pancreas lesion may best be biopsied with ERCP approach.

  2. #2
    Are you an ASC? You may consider modifier 53...

Similar Threads

  1. CT guided Liver biopsy
    By lesliefence in forum Interventional Radiology
    Replies: 1
    Last Post: 10-05-2015, 05:18 PM
  2. Laproscopic liver biopsy?
    By lynnlandry in forum Internal Medicine
    Replies: 0
    Last Post: 09-29-2015, 10:07 AM
  3. liver biopsy
    By djohns in forum General Surgery
    Replies: 2
    Last Post: 03-05-2015, 05:38 AM
  4. laparoscopic liver biopsy
    By swiedner7 in forum General Surgery
    Replies: 1
    Last Post: 06-29-2010, 10:01 AM
  5. Liver biopsy
    By cooper1 in forum General Surgery
    Replies: 3
    Last Post: 05-22-2009, 11:20 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.