Radiology Coding Alert
19083 is Inclusive of Clip Placement
Question: We submitted code 19083 for breast biopsy with placement of clip but we received a denial. How can we report this procedure?
Florida Subscriber
Answer: You can appeal for the denial as your choice of code is appropriate. Code 19083 represents “ 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.”
Code descriptor says - ‘with placement of breast localization device when performed and imaging of the biopsy specimen, when performed’. It means that localization device placement and specimen imaging are not required for this code, but they are included if performed.
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