tci General Surgery Coding Alert - 2002 Issue 1

Reader Question: Breast Biopsies

Question: The surgeon performs three ultrasonic biopsies on the right breast and two ultrasonic biopsies on the left breast of a 40-year-old female. The surgeon performed one incision only on each breast. How should this scenario be coded?South Carolina Subscriber  Answer: Only two biopsies may be billed, both using 19102 (biopsy of breast; percutaneous, needle core, using imaging guidance). If the surgeon also supervised and interpreted the imaging, 76942 (ultrasonic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device], imaging supervision and interpretation) may also be billed twice. The number of incisions made (not the...

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