Resource Breast Coding

Get a Physician’s Perspective on Breast Health and Coding - AAPC Knowledge Center

An interview between a surgical coder and a breast surgeon uncovers essential clinical and medical coding guidance. Breast health is an important topic

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Breast Biopsies​
Imaging Guidance Used	Tomosynthesis Imaging Only	Stereotactic Imaging Only	Tomosynthesis & Stereotactic	Ultrasound	MRI	Without Guidance
Codes	19499	19081	19081	19083	19085	19100 Or 19101
Additional Lesions	19499-59	19082	19082	19084	19086
Notes	Breast biopsy include: Imaging Placement of localization device(s) Imaging of biopsy specimen, when performed Bilateral Biopsies – Refer to the Definitions Bilateral Procedure normally performed on only one side of the body is performed on both sides during the same operative session 50 Modifier Bilateral Procedure 59 Modifier Distinct Procedural Service RT Modifier Right side LT Modifier Left side

Descriptions​
19081	Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance
19082	Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)
19083	Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance
19084	Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)
19085	Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance
19086	Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)
19100	Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)
19101	Biopsy of breast; open, incisional
19499	Unlisted procedure, breast

Coding and Billing Guidelines for Breast Biopsies | BCBSND

www.bcbsnd.com

CPT Code Updates for Breast Procedures in 2021​

CPT Code Updates for Breast Procedures in 2021 | OSI

In 2021, there are major changes to CPT codes for breast procedures which include 15 revised codes and two deletions.

www.outsourcestrategies.com

Frequently asked questions about CPT coding for breast surgery: An update​

Frequently asked questions about CPT coding for breast surgery: An update

An update on correct coding for breast procedures, including case examples, is provided.

bulletin.facs.org

Coding Corner: How to appropriately apply modifiers LT, RT and 50​

Coding Corner: How to appropriately apply modifiers LT, RT and 50

Confusion about when to append CPT® modifier 50 Bilateral procedure, versus HCPCS Level II modifiers LT Left side and RT Right side is common. Guidelines for modifier 50 are well established, but th...

www.cmadocs.org

 

[WhitneyH_24046]

Thanks Lori. So helpful.