drobinson1
Networker
Hello coders. Hope someone can help me with the following report. I'm questioning whether an aspiration (77003/62267) and a biopsy(77002/20225) are necessary or was this just a biopsy.
History: Patient is an 80-year old male with a lytic lesion involving T4. THe patient presents for biopsy.
Using fluroscopic guidance a 17-gauge needle was inserted in the T4 body via a left para-pedicular approach. Through this needle several 22-gauge needles were inserted. The samples were evaluated by cytology. In addition a core biopsy was obtained with a 17-gauge needle. This was sent in formalin to pathology for further evaluation.
History: Patient is an 80-year old male with a lytic lesion involving T4. THe patient presents for biopsy.
Using fluroscopic guidance a 17-gauge needle was inserted in the T4 body via a left para-pedicular approach. Through this needle several 22-gauge needles were inserted. The samples were evaluated by cytology. In addition a core biopsy was obtained with a 17-gauge needle. This was sent in formalin to pathology for further evaluation.