Dr lists procedure performed as: 1. Assistance provided to mammo tech Marie and stereo localization. 2. Calculation of stereo coordinates 3. Stereotactic biopsy of left breast 4. Placement of marker clip
The description of the procedure is: pt identified in the preoperative holding area by wristband and conversation, brought back to the mammography suite, placed prone on the Lorad mammotome table with the left breast in the medial to lateral approach. Assistance was provided to the mammo tech and stereo localization of the medial inferior quadrant mass. Stereo views were obtained. There appeared to b e better display on the scout, plus 15 images were used to calculate the stereo coordinates which were then transferred onto the mammotome stage. The skin was prepped and draped in a sterile fashion. ___position was copiously infiltrated with the 1% Lidocaine containing Epinepherine. Four-quadrant infiltration was done peripherally. A curciate incision was made. Needle placement was advance to 0, -2 mm and pre-fire followed by firing of the needle and post-fire views were obtained. Multiple cores were then obtained from this area and post biopsy mammogram indicated presence of a dense lesion with some microcalcifiations suspected to be biopsied. Havindg confirmed the presence of the lesion a marker clip was placed using manufacturer's recommendations. The needle was withdrawn and the the marker clip position was confirmed.
My question is how to bill the radiological procedures? Would you agree with cpt 19103,77032-26, 77012-26,19295?
Thanks in advance for any insight.
The description of the procedure is: pt identified in the preoperative holding area by wristband and conversation, brought back to the mammography suite, placed prone on the Lorad mammotome table with the left breast in the medial to lateral approach. Assistance was provided to the mammo tech and stereo localization of the medial inferior quadrant mass. Stereo views were obtained. There appeared to b e better display on the scout, plus 15 images were used to calculate the stereo coordinates which were then transferred onto the mammotome stage. The skin was prepped and draped in a sterile fashion. ___position was copiously infiltrated with the 1% Lidocaine containing Epinepherine. Four-quadrant infiltration was done peripherally. A curciate incision was made. Needle placement was advance to 0, -2 mm and pre-fire followed by firing of the needle and post-fire views were obtained. Multiple cores were then obtained from this area and post biopsy mammogram indicated presence of a dense lesion with some microcalcifiations suspected to be biopsied. Havindg confirmed the presence of the lesion a marker clip was placed using manufacturer's recommendations. The needle was withdrawn and the the marker clip position was confirmed.
My question is how to bill the radiological procedures? Would you agree with cpt 19103,77032-26, 77012-26,19295?
Thanks in advance for any insight.
