tci General Surgery Coding Alert - 2017 Issue 4

You Be the Coder: Spotlight Breast Localization Device Coding

Question: Our surgeon placed localization devices for two lesions in the patient’s left breast using ultrasound guidance. How should we code the procedure? Tennessee Subscriber Answer: Report 19285 (Placement of breast localization device[s] [e.g., clip, metallic pellet, wire/needle, radioactive seeds], percutaneous; first lesion, including ultrasound guidance) and +19286 (…each additional lesion, including ultrasound guidance [List separately in addition to code for primary procedure]). CPT® provides eight codes in the range 19281-19288 for breast localization device placement. With multiple choices, you need to consider factors such as the imaging method and number of lesions to code these...

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