Coding for steriotactic breast biopsy

Skip breadcrumb navigation. Prior to the changes, a percutaneous breast biopsy was reported with up to three codes: the biopsy itself, the imaging used to guide the biopsy, and the placement of a localization device, when used. The procedures may now be reported as one code. Similarly, when placement of the localization device is performed without a biopsy at the same session, it may now also be reported as a single code, reduced from its previous two code requirement reflecting the device placement and the image guidance.

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New Breast biopsy CPT Codes with Stereotactic imaging guidance

Breast Biopsy (x-ray guided - Stereotactic )

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Stereotactic Breast Biopsy

Stereotactic breast biopsy uses mammography — a specific type of breast imaging that uses low-dose x-rays — to help locate a breast abnormality and remove a tissue sample for examination under a microscope. It's less invasive than surgical biopsy, leaves little to no scarring and can be an excellent way to evaluate calcium deposits or tiny masses that are not visible on ultrasound. Tell your doctor if there's a possibility you are pregnant. Discuss any medications you're taking, including aspirin and herbal supplements, and whether you have any allergies — especially to anesthesia. You will be advised to stop taking aspirin, blood thinners, or particular herbal supplements which can increase your risk of bleeding for three to five days before your procedure.
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A screening mammogram has limitations as it must be, at a minimum a two-view exposure cranio-caudal and a medial lateral oblique view of each breast. Medicare will not pay for a screening mammogram performed on a woman under the age of Medicare will pay for only one screening mammography procedure performed on a woman over age 34 but under age For an asymptomatic woman over age 39, payment may be made for a screening mammography performed after at least 11 months have passed following the month in which the last screening mammography was performed.
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