From biopsy to localization device to mastectomy, coding for breast procedures can be challenging. This article summarizes the rules related to these services.
Fine needle aspiration of a breast mass, or aspiration of a cyst
Fine needle aspiration (FNA) of a breast mass is reported with codes 10021—10012. CPT developed new codes for FNA in 2019. These codes are reported when aspiration occurs and the material is sent for pathologic examination.
Three significant changes occurred in 2019.
- First CPT code 10022 (FNA with image guidance) was deleted.
- Second, there are codes for use without image guidance (10021, +10005), and codes to be used when an FNA is done with imaging guidance, including ultrasound guidance (10005, +10006, with fluoroscopic imaging (10007, +10008).
- And finally, with CT guidance (10009, +10010) and with MR guidance (10011, +10012).
You can see the addition of add-on codes. These are out of sequence codes. There is a CodingIntel article describing them.
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