Biopsies are diagnostic procedures to obtain a tissue sample from the body in order to examine it. In interventional radiology, we have separate CPT codes for biopsy of different parts of the body. The most common and diverse coding is for Breast biopsy in Interventional radiology. However, we are here to learn how to find out CPT code for endometrial biopsy. Coding biopsy is very confusing while coding medical charts; we tend to code an open procedure code for a minimal invasive procedure. We face a similar situation for coding endometrial biopsy. We have different CPT code for endometrial biopsy, which we will learn here.

Secret tips for Coding Endometrial Biopsy

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Separate CPT code for endometrial biopsy

Endometrial Biopsy extracts samples from the tissue lining (endometrium) the inside of the uterus. The samples are sent to pathology for more studying purpose. The sample of tissue is analyzed under a microscope in the laboratory by a pathologist, a doctor with special training in diagnosis of diseases based upon tissue examination.The most common reasons for performing an endometrial biopsy are abnormal uterine bleeding, amenorrhea and menopausal and postmenopausal disorders. The finally code 58100 is used for Endometrial biopsy which is a Separate procedure code.

58100 (Endometrial sampling [biopsy] with or without endocervical sampling [biopsy] without cervical dilation any method [separate procedure])

Do and Don’t with CPT code for endometrial biopsy

Do not code 58100 for Endocervical curettage, use code 57505 if not done as part of dilation and curettage.

Use CPT code 58110 when endometrial biopsy is performed in conjunction with colposcopy. Use 58110 CPT code along with 57420, 57421, 57452-57461.