Radiology Coding Alert

Reader Question:

76098 Applies to Stereotactic Biopsy Sample

Question: May I report 76098 for specimen review during stereotactic biopsy? Codify Member Answer: Yes, you may report 76098 (Radiological examination, surgical specimen) when the radiologist examines a tissue specimen removed during surgery, regardless of which body part the specimen originated from. The radiologist uses X-ray technology to examine the specimen, looking for evidence that the physician removed the complete area of interest for pathologic examination. Keep in mind: Like many radiology codes, 76098 has a professional and technical component. If you're reporting only the professional component (because the service took place in a facility), append modifier 26 (Professional component) to 76098 to ensure the proper reimbursement level.
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