Category: Breast Biopsy

Coding tips for Liver Biopsy CPT code

Jitendra M.Sc CPC
Coding tips for Liver Biopsy CPT code

Basics of Liver Biopsy CPT code Coding for a biopsy depends on many factors, such as the type of biopsy sample (eg, fine needle aspiration [FNA] or core needle biopsy), the number of lesions biopsied, and whether imaging guidance was used. Imaging guidance is used to ensure exact location for needle placement—and is usually separately reported based on the imaging modality (eg, fluoroscopy, ultrasound, CT, or MR imaging). Imaging guidance is not included in CPT code 47000 and, therefore, imaging guidance code is separately reported. A contrast-enhanced ultrasound performed in…

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ICD-10 Coding Breast Mass becomes more specific for coders

Jitendra M.Sc CPC
Coding Breast Mass becomes more specific in 2018

The ICD 10 codes are getting more specific with time. I have already shared lot of updates about  diagnosis codes but today we will learn more about them. Today, we will see the ICD 10 codes added to code for lump or mass in Breast. Earlier, we were using only N63 as the specific code for any part of the breast. But, the  ICD 10 codes changes from 2020 has been expanded for specificity. We now have diagnosis codes for overlapping quadrants to each RT and LT side, just like…

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Surgical Reconstruction of the Breast Coding Guide

Jitendra M.Sc CPC

Basics of Surgical Reconstruction of the Breast After a patient has been diagnosed with breast cancer, the next process is weighing the surgical and medical options for treating the disease. The physician will discuss with the patient the best treatment options depending on the type of breast cancer, the stage, the size, sensitivity to hormones, and if it has metastasized. Treatment options are considered based on the stage and may consist of surgical options such as excision of a breast lesion (CPT code 19120, 19125), lumpectomy (19301-19302), and mastectomy (19303,…

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Amazing tips for CPT code 19281, 19283, 19285 and 19287

Jitendra M.Sc CPC
Amazing tips for CPT code 19281, 19283, 19285 and 19287

Breast biopsies are very common procedure in interventional radiology coding. When I started coding breast biopsy, I used to code the biopsy and imaging guidance separately. But, later with new updates, CPT codes for breast biopsy and imaging guidance were bundled. This has made the job of a coder lot easier. Also, now we have separate CPT code for breast biopsy without guidance and breast biopsy with guidance. The CPT code 19100 and 19101 are used for breast biopsies without imaging guidance. Also to report image guided breast biopsy with…

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Emergency Department (ED) Sample Medical Coding Chart Part 2

Jitendra M.Sc CPC

Emergency Department (ED) sample medical coding chart 1 Chief complaint: Sore throat, cough History of present illness: The patient is a 18 year old male presenting with sore throat and cough.Three weeks ago the sore throat started and has not improved.He also has a cough productive of colorless sputum.The cough started 2 weeks ago. Denies fever, chills, night sweats, headaches, dizziness, chest pain, palpitations, shortness of breath, hemoptysis, nausea, vomiting, abdominal pain, numbness, tingling or weakness. MDM: The patient is a 18 year old male who presented to the emergency…

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Breast Procedure and Diagnosis coding skills

Jitendra M.Sc CPC

Sometimes unusual pathology cases make the best learning tools. Here’s an instance that provides lots of opportunities to illustrate principles for breast procedure coding. And because the case deals with a breast implant related condition that clinicians are just beginning to define and understand, this case allows you to learn about a new diagnosis code, too. Following is a layout of the case from background to diagnosis. Background: Patient with 3-year old breast implant presents with pain and hardening in upper outer quadrant of right breast. Prior cytology results indicated…

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Amazing Coding Guide for Sequela encounter ICD 10 Codes

Jitendra M.Sc CPC
Coding Guide for Sequela encounter ICD 10 Codes

In ICD 10, the injury codes are still creating lot of problems for medical coders.  They are still not able to use and differentiate between the intial, subsequent and sequela ICD 10 codes. The use of 7th character for initial and subsequent encounter can be understood after coding some injury charts, but the use of Sequela ICD 10 codes are still a big confusion for coders. As per the definition of ICD-10-CM,  the seventh character ‘S‘ is used for complications or conditions that arise as a direct result of an…

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8 New CPT Codes for Bivalent COVID-19 Booster Doses

Jitendra M.Sc CPC

The American Medical Association (AMA) has announced an editorial update to its Current Procedural Terminology (CPT) code set to include eight new codes for the bivalent COVID-19 vaccine doses from Moderna and Pfizer-BioNTech. The US Food and Drug Administration (FDA) amended the emergency use authorizations for both Moderna’s and Pfizer-BioNTech’s vaccines to authorize bivalent formulations to be given as a single booster dose at least two months following primary or booster vaccination. The bivalent vaccines contain two messenger RNA components: one for the original COVID-19 strain and the other for the…

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Tips and Tricks for Breast biopsy CPT codes

Jitendra M.Sc CPC

Basics about Breast Biopsy CPT Codes  Breast biopsy are very important to determine the initial stage of breast cancer. Breast biopsy is done in different technique to find the diagnosis related to breast neoplasm. Since, there are some changes in breast biopsy CPT codes , we are here to learn more about them. We already learnt about coding new updated codes for spinal injection . These new CPT codes are similar to breast biopsy procedure, since all the minor procedures, including the guidance (code 77003 for spinal injection) are included…

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Tips for Breast biopsy CPT Codes with Stereotactic imaging guidance

Jitendra M.Sc CPC
New Breast biopsy CPT Codes in IVR

There were separate codes for breast biopsy procedures along with guidance. We have to assign multiple codes for breast procedures earlier. However, from 2014 we have bundled CPT codes of breast biopsy with guidance. Breast biopsy CPT codes helps in coding the Interventional radiology procedures easily.  We have individual code for breast biopsy with guidance. Lets checkout the new breast biopsy cpt codes. These new codes include the use of imaging guidance; placement of a localization device such as a metallic clip, pellet, etc (if performed); and specimen imaging (if…

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