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  #1  
Old 05-21-2009, 02:25 AM
krishna_s krishna_s is offline
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Default CPT code for CT guided core biopsy

Hi

Procedure: A Temno biopsy device was advanced into a soft tissue collection at the lateral aspect of the subtrochanteric femur utilizing CT guidance. The soft tissue abnormality was not fluid filled but was, in fact solid. Aspiration through the Temno introducer yielded only a small amount of blood tinged fluid which was placed in a culturette tube. Then, the 14 g Temno device was used to obtain core samples, which were placed in 3 separate sterile vials to be sent for AFB, cell count, gram stain and culture. The needles were removed, the skin entry site cleaned and a sterile bandage applied.


What would be the approproate CPT code for CT guided core biopsy of a soft tissue collection in the lateral aspect of the proximal left thigh.
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Old 05-21-2009, 03:47 AM
rajalakshmir rajalakshmir is offline
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i think the codes are 27040 and 77012 ,any suggestions
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Old 05-21-2009, 04:07 AM
Shirleybala Shirleybala is offline
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How about 10160 and 77012
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Old 05-21-2009, 04:47 AM
mahesh mahesh is offline
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20206 and 77012 ???
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Old 05-21-2009, 06:26 AM
joe_physio09 joe_physio09 is offline
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i think the approp code may be 27040 and 77012, the reason why i choose these set of codes bcas they mentioned as core samples after aspiration. Need to know am i right or wrong.

Last edited by joe_physio09; 05-21-2009 at 06:29 AM.
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Old 05-21-2009, 06:36 AM
Shirleybala Shirleybala is offline
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I suggested this code bcoz its an aspiration

The physician performs a biopsy to evaluate soft tissue. The area for biopsy is in the subcutaneous tissue between the muscle and skin layers in 27040. An incision is made to expose the area. A tumor is typically surrounded by a capsule. The physician makes an incision through the capsule, removing a portion of the tumor for biopsy. The incision is repaired in layers using sutures, staples, and/or Steri-strips

In code discription 27040," incision is made to expose the area"
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Last edited by Shirleybala; 05-21-2009 at 06:40 AM.
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Old 05-21-2009, 06:39 AM
rajalakshmir rajalakshmir is offline
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what abt the code 10022 which includes biopsy as well
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Old 05-21-2009, 06:42 AM
Shirleybala Shirleybala is offline
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10022 is a fine needle aspiration the physician should use 22 or 25 gauge needle
10022 Fine needle aspiration; with imaging guidance(Fine needle aspiration (FNA) is a percutaneous procedure that uses a fine gauge needle (22 or 25 gauge) and a syringe to sample fluid from a cyst or remove clusters of cells from a solid mass)
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Old 05-21-2009, 05:05 PM
dhuston dhuston is offline
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I'd code it as 20206 for percutaneous bx and 10022 for the FNA plus the guidance.

Diane Huston, CPC,RCC
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Old 05-22-2009, 04:31 AM
joe_physio09 joe_physio09 is offline
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Default biopsy

Can we bill this as 27041 and 10160 - 59?

Joseph Amalraj Antonisamy CPC-H
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