Question:
Can you code both an FNA biopsy and a core biopsy performed at the same session, on the same lesion, using the same type of imaging guidance?
Answer:
Per CPT®, assign the modality-specific FNA biopsy code and the organ-specific core biopsy code, but do not also assign the separate modality-specific imaging guidance code that was used for the core biopsy. Be aware that this differs from current NCCI narrative guidance, which states that only one code, the FNA code or the core biopsy code. Check with your payers to determine which is the correct way to code in these situations.
This question was answered in our Interventional Radiology Coder. For more hot topics relating to interventional radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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