March 16, 2017

Question:
If I do a percutaneous biopsy with ultrasound imaging of one lesion, but don’t place a localization device, what code should I use?

Answer:
Good question! If you read the description for the code below, 19083, it states” with placement of localization device (s)…., when performed. This distinction means that if you do not place a localization device, this code is still appropriate. Remember to use the add-on code if you biopsy a second lesion/mass.

19083

Biopsy, breast, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance

+19084

each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

*This response is based on the best information available as of 03/16/17.