tci General Surgery Coding Alert - 2001 Issue 11

You Be the Coder: Number of Incisions Determines Biopsy Billing

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: The surgeon performed three ultrasonic-guided incisional breast biopsies on the right breast of a 40-year-old female. Two ultrasonic breast biopsies on the left were also obtained. Only one incision was performed on each breast. How should this session be coded?Arizona Subscriber   Answer: Based on the information provided, the general surgeon's services would be coded as follows:  19101-LT biopsy of breast; open, incisional; -left side  19101-RT ... right side  76942 ultrasonic guidance for needle placement (e.g...

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