Wiki Excisional breast biopsy

[Babsss]

I am confused about coding this. Looking at code 19083 vs 19125

Excisional biopsy of right breast subsequent to ultrasound directed needle localization.
Incision was made in the skin-radially in the upper inner right breast corresponding to the tissue at the end of the guidewire. Dissection carried down and the tissue around the end of the guidewire approximately 2 cm in diameter was resected and this was sent to the lab with guidewire intact.
Any help is much appreciated. I have gone back and forth and afraid to commit 100%
Thanks in advance for any help

 

[liloe517]

This would be the 19125 because of the wire localization. The 19083 is just taking samples of the mass not removing entirely.

 

[Babsss]

Thanks. That matches my old notes. I just start second guessing myself.