tci General Surgery Coding Alert - 2019 Issue Q4

You Be the Coder: Capture 2-Site Marker Placement

Question: Our surgeon performed percutaneous placement of metallic pellets using stereotactic guidance in a right upper outer quadrant breast lesion and a right axillary lymph node lesion. How should we report the service? Tennessee Subscriber Answer: Optimum coding for these procedures would be 19283 (Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance) and 10035 (Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion). Because you describe placement of two separate lesion markers, so you should code separately for each...

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