Anesthesia Coding Alert

Reader Question:

CT Scan With Biopsy

Question: Should we use a modifier when billing for a CT scan with biopsy? The CPT code is being entered by the ancillary service, not medical records.

New York Subscriber


Answer: Your question suggests that you are billing for the actual procedure, computed tomography scan (CT scan) with needle biopsy. If so, the proper code would be 76360 (computerized tomography guidance for needle biopsy, radiological supervision and interpretation). The RBRVS Guide shows this with no modifier, with modifier -TC (technical component) and/or modifier -26 (professional component). Use the appropriate modifier for your situation.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.