tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Question: Do This on Puncture Aspiration of Breast Cyst

Question: The ED physician performs puncture aspiration on a solitary cyst in a patient’s right breast. During the aspiration, the physician used ultrasound (US) guidance for needle placement. How should I report this encounter? AAPC Forum Subscriber Answer: Yes, you can code for the US guidance. On the claim, report: 19000 (Puncture aspiration of cyst of breast) for the puncture aspiration 76942 (Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation) for the US guidance N60.01 (Solitary cyst of right breast) appended to 19000 and 76942 to represent the patient’s...

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