Integ BreastBiopsy USguided breast biopsy Slide 15 - AAPC

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Preoperative DX: Left Breast mass |1| Procedure: Left Breast Ultrasound guided breast biopsy Procedure was discussed with patient and consent was obtained. The lesion was identified with ultrasound in the left breast at 2:00; 5 cm from the nipple. |2| Using betadine skin prep and 1% lidocaine with epinephrine local anesthesia, 8 gauge vacuum assisted biopsy needle was advanced into the mass under sonographic guidance and one core was taken from the mass. |3| A clip was placed. |4| Post clip placement sonographic image shows clip in lesion. Dressings were applied. Specimen sent for pathology. Patient tolerated procedure well. Will follow up in 2?3 days for results and check of biopsy site. _____________________________________________________________

|1| Pre-op diagnosis is left breast mass. |2| Identifies ultrasonic guidance was used to identify the mass. |3| Identifies percutaneous needle biopsy with ultrasonic guidance. |4| Clip was placed. _____________________________________________________________ What are the CPT? and ICD-10-CM codes reported? CPT? Code: 19083-LT ICD-10-CM Code: N63.20 Rationales: CPT?: In the CPT Index locate Biopsy/Breast/with Localization Device Placement/with ultrasound Guidance. You are directed 19083?19084. A review of the codes verifies 19083 is the correct code for a breast biopsy with localization device placement using ultrasound guidance, single lesion. HCPCS Level II modifier LT is used to indicate the left breast. ICD-10-CM: In ICD-10-CM Alphabetic Index locate Mass/breast and you are directed to N63.0. The Tabular List verifies indicates that there are codes for the right and left breast. This is a mass in the left breast. Report N63.20 for unspecified lump in the left breast, unspecified quadrant.

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