In 2019, CPT® changes the definition of code 10021 and deletes 10022.
Read on for a review of these changes, as well as examples and additional resources from CodingIntel.
Fine needle aspiration biopsy
- Material aspirated with a fine needle and the cells are examined cytologically
- Core needle biopsy is performed with a larger bore needle to obtain a core sample
- Code 10021 for FNA without imaging guidance, first lesion
- New CPT® codes include imaging guidance
- Add-on codes for additional lesions, also defined by type of imaging guidance
RVUs are for 2019
|Code||Description||wRVU||Total non-facility RVUs||Global days|
|10021||Fine needle aspiration biopsy, without imaging guidance; first lesion||1.03||2.78||XXX|
|#+10004||each additional lesion||0.8||1.49||ZZZ|
|#10005||Fine needle aspiration biopsy, including ultrasound guidance; first lesion||1.46||3.59||XXX|
|#+10006||each additional lesion||1||1.71||ZZZ|
|#10007||Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion||1.81||8.09||XXX|
|#+10008||each additional lesion||1.18||4.56||ZZZ|
|#10009||Fine needle aspiration biopsy, including CT guidance; first lesion||2.26||13.24||XXX|
|#+10010||each additional lesion||1.65||7.98||ZZZ|
|#10011||Fine needle aspiration biopsy, including MR guidance; first lesion||Carrier priced||Carrier priced||XXX|
|#+10012||each additional lesion||Carrier priced||Carrier priced||ZZZ|
XXX= The global concept does not apply to this code
ZZZ= The code is related to another service and is always included in the global period for the other service.
Coding examples for FNA new CPT® codes
More than one FNA biopsy on separate lesions in the same session, same modality, use appropriate add-on code.
Surgeon performs FNA on two soft tissue lesions using fluoroscopic guidance.
Codes: 10007, +10008
More than one FNA performed on separate lesion, same session using different modatlies, report corresponding primary code with modifier 59 for each additional imaging modality, and corresponding add-on codes for subsequent lesions.
Surgeon performs FNA on three soft tissue lesions, one with ultrasound guidance and two with fluoroscopic guidance.
Codes: 10007, 10008 10005-59
Coding for percutaneous needle biopsy, per CPT®
For percutaneous needle biopsy other than fine needle aspiration, see:
- 19081-19086 for breast
- 20206 for muscle
- 32400 for pleura
- 32405 for lung or mediastinum
- 42400 for salivary gland
- 47000 for liver
- 48102 for pancreas
- 49180 for abdominal or retroperitoneal mass
- 50200 for kidney
- 54500 for testis
- 54800 for epididymis
- 60100 for thyroid
- 62267 for nucleus pulposus intervertebral disc, or paravertebral tissue
- 62269 for spinal cord
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