icd 10 code for stereotactic breast biopsy

What is the CPT code for a stereotactic breast biopsy?

19081“When a breast biopsy is performed using both stereotactic and tomosynthesis imaging guidance, it is appropriate to use CPT code 19081, 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 ...

What is the ICD 10 code for breast biopsy?

19081, 19083, or 19085 for the initial biopsy for bilateral image-guided breast biopsies. 19082, 19084, or 19086 for the contralateral and each additional breast image-guided biopsy.

What is a stereotactic breast biopsy?

Print. During a stereotactic breast biopsy, your breast will be firmly compressed between two plates. Breast X-rays (mammograms) are used to produce stereo images — images of the same area from different angles — to determine the exact location for the biopsy.

What is the difference between Z12 31 and Z12 39?

Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.

How do you code a breast biopsy?

If a percutaneous breast biopsy is performed using both stereotactic and tomosynthesis imaging guidance, CPT code 19081 (Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ...

What is Code N63 11?

ICD-10-CM Code for Unspecified lump in the right breast, upper outer quadrant N63. 11.

What is the difference between needle aspiration and stereotactic biopsy?

Fine-Needle Aspiration is similar procedure to the stereotactic biopsy, but is performed when cystic material in the body has been diagnosed. A fine-needle aspiration is a simple procedure to drain fluid from cysts or lesions in the body.

Is the stereotactic biopsy the same as core needle biopsy?

What is a stereotactic needle biopsy? A stereotactic needle biopsy, also called stereotactic core needle biopsy, is a medical test to remove a piece of tissue from your body. The tissue is then tested to find out what it is.

Is a stereotactic biopsy A core biopsy?

Stereotactic (mammogram- or tomosynthesis-guided) core needle biopsy. For this procedure, a doctor uses mammogram pictures taken from different angles to pinpoint the biopsy site. A computer analyzes the breast x-rays and shows where the needle tip needs to go in the abnormal area.

What does diagnosis code Z12 39 mean?

39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.

Is Z12 31 preventive or diagnostic?

The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast. The Medicare deductible and co-pay/coinsurance are waived for this service.

What does the code Z12 31 mean?

Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast, is the primary diagnosis code assigned for a screening mammogram. If the mammogram is diagnostic, the ICD-10-CM code assigned is the reason the diagnostic mammogram was performed.

What is code Z12 39?

39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.

What does Z12 31 mean?

Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast, is the primary diagnosis code assigned for a screening mammogram. If the mammogram is diagnostic, the ICD-10-CM code assigned is the reason the diagnostic mammogram was performed.

What is the CPT code 76642?

76642. ULTRASOUND, BREAST, UNILATERAL, REAL TIME WITH IMAGE DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; LIMITED.

What is the ICD-10 code for right breast mass?

ICD-10 code N63. 1 for Unspecified lump in the right breast is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

Coding & Billing Guidelines

Blue Cross Blue Shield of North Dakota (BCBSND) has identified an increase in providers billing CPT 19499, Unlisted Procedure, Breast. Review of medical records identified 19499 was being used for breast biopsies performed with stereotactic and tomosynthesis image guidance.

Limitations & Exclusions

While reimbursement is considered, payment determination is subject to, but not limited to:

Disclaimer

Reimbursement policies are intended only to establish general guidelines for reimbursement under BCBSND plans. BCBSND retains the right to review and update its reimbursement policy guidelines at its sole discretion.

Description Information

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Transmittal Information

09/2002 - Added section that implements new policy that covers percutaneous image-guided breast biopsy. Effective and implementation dates 01/01/2003. ( TN 159 ) (CR 2232)

National Coverage Analyses (NCAs)

This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.