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Lump in rt thigh??

  1. #1
    Location
    Richmond Virginia
    Posts
    507
    Default Lump in rt thigh??
    Medical Coding Books
    Any CPT help/suggestions is greatly appreciated!!



    Reason For Visit: LUMP IN RT THIGH*
    *
    Informed consent was obtained. 2.5 cm diameter oval hypoechoic solid
    mass in the medial right upper thigh was localized under ultrasound
    guidance. This is the palpable lesion felt by the patient. 1%
    lidocaine was used for superficial local anesthesia. Under ultrasound
    guidance, 2 core biopsies were obtained through the mass with an
    18-gauge Biopince biopsy gun. Material was submitted on slides and in
    saline.*
    *
    Impression: Ultrasound guided core biopsy of solid mass in the medial
    right upper thigh.*
    *
    *

  2. #2
    Location
    Greater Orlando
    Posts
    146
    Default Needle Biopsy & US Guidance
    How about the following?
    • 27323 Biopsy, soft tissue of thigh or knee area; superficial
    • 76942 Ultrasound guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation
    You might add -RT to 27323 but it may not be required. Add 26 (prof component) modifier to 76942 if US equipment belongs to facility and their person handled it.
    Last edited by RonMcK3; 12-29-2011 at 09:47 PM. Reason: Add note about 26 modifier
    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

  3. #3
    Location
    Richmond Virginia
    Posts
    507
    Default
    I'm not to sold on 27323 that code is under the excision category and this was not an excision biopsy!!??
    Thanks

  4. #4
    Location
    Greater Orlando
    Posts
    146
    Default My bad
    Looking at the CPT, again, I realize that I didn't read far enough. A couple of lines down, we have the following parenthetical:
    .
    (For needle biopsy of soft tissue, use 20206)
    Sorry for the misdirection,
    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

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