INTEGUMENTARY

SYSTEM
Surgery-General
• FNA – Fine needle aspiration (22 Gauge size to 25 gauge size) small size needle.
•
(Core biopsy - 14, 16 &18 gauges are large circumference needle).

1. Without Imaging guidance

CPT 10021 & +10004---

2. With Imaging Guidance (First lesion and each additional)

CPT 10005 & +10006 – Ultrasound Guidance

CPT 10007 & +10008 – Fluoroscopic Guidance

•

CPT 10009 &+ 10010 – CT Guidance

CPT 10011 & +10012 – MRI Guidance

All the above codes include Guidance (US, Flu, CT or MRI).

Append modifier 59 for different modality at the same session.

•
• Core and FNA performed at the same site or different site - Bill both procedure and add modifier 59 with FNA code.
• FNA BX= LESION USG GUIDANCE ONE LESION FLOUROSCOPIC
• 10005, 10007-59
• FNA is done without guidance 6 lesion 10021, +10004*5
• Fna BX one is with ct guidance and 3with mr guidance-
• 10009, 10011-59, +10012-59,10012-59
• 10009,10011-59,10012*2
• FNA Is performed without imaging guidance on 5 lesion
• 10021,+10004*4
• FNA performed with MRI Guidance 10 lesion
• 10011,+10012*9
• Fna is performed 1 lesion with USGguidance and 1 with MRI
GUIDANCE
• 10005, 10011-59
Surgery-General
• If the Biopsy procedure was not performed using FNA then use respective chapter codes.
· Breast (19081 – 19086)
· Muscle (20206)
· Pleura (32400)
· Lung (32405)
· Salivary gland (42400)
· Liver (47000)
· Pancreas (48102)
· Abdominal or retroperitoneal (49180)
· Kidney (50200)
· Testis (54500)
· Epididymis (54800)
· Thyroid (60100)
· Nucleus pulposus, IVD, paravertebral (62267)
· Spinal cord (62269)
 Debridement (11042 – 11047)

 it is coded based on the depth of the tissue removed and surface area of the wound.
 Depth levels- subcutaneous tissue- muscles and/or fascia--bone

 Debridement of a single wound – report the deepest level only.

 Debridement of Multiple wounds – Sum the surface area of same depth (Don’t combine different depths)
Debriment of bone for foot ulcer 100 sq cm. – 11044, +11047*4,
Debriment of muscle for gangrene 120sqcm- 11043, +11046*5

Eg: Debridement of bone from foot ulcer 8 sq cm and from the back ulcer 8 sq cm
Ans. CPT 11044 (first 20 sq cm or less)---

Eg: Debridement of subcutaneous tissue 18 sq cm trunk wound and 10 sq cm from thigh wound –

Ans. CPT 11042, +11045 (For first 20 sq cm 11042 and remaining 8 sq cm 11045),

Debriment of bone foot ulcer 10sqcm and subcutaneous tissue for back ulcer 15 sq cm –
11044, 11042-59
• Subcutaneous tissue-11042,+11045
• Ms.fascia-11043,+11046
• Bone-11044,+11047

• Debriment of ulcer till sub.q 25 sqcm-

• 11042, +11045
• 50 sq.cm- 20+20+10
• 11042-20sq cm, +11045 – 20sq cm, +11045 – 10sq cm
 Biopsy of skin
• Need to code biopsies based on the method of removal.
* Tangential biopsies describe biopsies performed with a sharp blade to take a small portion of
epidermal tissue.
* Punch biopsies require using a punch tool to remove a cylindrical, full-thickness skin sample. Simple
closure is included.
* Incisional biopsies are done with a sharp blade and involved removing full-thickness samples with a
wedge or vertical incisions. These biopsies penetrate into the dermis. Simple closure is included.
• Guidelines to code
1. Only one primary biopsy code should be reported if more than one biopsy is performed at the
same visit.
2. If multiple biopsies are performed with the same technique, report the corresponding biopsy code
and then use the add-on code for every additional lesion that’s biopsied.
3. If you are excising the entire lesion, you’ll need to use excision codes 11400 - 11646 depending on
whether the lesion is malignant or benign
• 11102 – Tangential biopsy of the skin (i.e., scoop, curette, shave) a single lesion

+11103 – each additional/separate lesion (list separately along with the code for the primary
biopsy)

11104 – Punch biopsy of the skin (including simple closure if performed) for a single lesion

+11105 – each additional/separate lesion (should be listed separately along with the code for
primary biopsy)

11106 – Incisional biopsy of the skin (i.e., wedge) (along with simple closure, if performed,)
single lesion

+11107 – each additional/separate lesion (list separately along with the code for the primary
biopsy
• 2 BX- 1 TANGENITAL, 1 PUNCH- 11102, +11105
• 1 T,1P.1INC- 11102, +11105,+11107
• Surgical procedures in the skin like Excision, Destruction (or) Shave
removal, Includes biopsy of the skin at the same site.
• Note: If the procedure was performed on different site or different
lesions on the same date would be reported separately with the
modifier 59
• Rt forearm lesion as BX as well as destruction– destruction code only.
• Rt forearm has Destruction and left forearm has bx-
• Rt forearm destruction code, left forearm bx code-59
 Shave technique
• Shave Technique : Shaving is the sharp removal by transverse incision or horizontal slicing to
remove epidermal and dermal lesions without a full-thickness dermal excision.
• It doesn’t require suture closure. (Includes local anaesthesia, chemical or electrocauterization)
• CPT 11300 – 11313
• CPT’s are arranged based on the anatomical site and lesion size. Each shaved lesion would be
reported separately.
• Scalp 0.7cm= 11306
• Arm- 2.5cm= 11303
• Ears- 2.4cm= 11313
• FACE -0.9CM = 11311
• FEET-5CM- 11308
 Excision of Benign Lesion (11400 - 11446)
• Benign lesions (Benign neoplasm, cyst, fibrous, inflammatory, congenital lesions)
• (Including simple closure & Local anesthesia) Full-thickness (dermis) removal of a
lesion including margins
• Code separately each benign lesion excised.
• Code selection is based on lesion diameter plus narrow margins.
• Any Intermediate / Complex closure should be reported separately along with
excision codes.
• (Simple closure is part of the excision procedure hence it would not be coded
separately)
• Excision of a lesion (11400 - 11446) with adjacent tissue transfer – Code
only adjacent tissue transfer (ATT).14000-14350
• Benign lesion face 1.5cm= 11442
• Face lesion 1 cm and margins 0.5cm
• 1cm+0.5+0.5= 2 cm= 11442

• Malignant lesion scalp 3 cm and margins 2cm

• 3+2+2= 7cm= 11626
• Excision of benign lesion on scalp 1cm and margin 2.cm =
• 1cm+2+2=5cm=11426

• Ear malignant lesion 2cm and margin 0.5cm=

• 2+0.5+0.5= 3cm =11643
 Excision Malignant lesions (11600 - 11646)

• Malignant lesions (Basal cell carcinoma, Squamous cell carcinoma, melanoma)

• Full-thickness (dermis) removal of a lesion including margins (Including simple closure & Local
anesthesia)
• Code separately each malignant lesion excised.
• Code selection is based on lesion diameter plus narrow margins equal.
• Any Intermediate / Complex closure should be reported separately along with excision codes. (Simple
closure is part of the excision procedure hence it would not be coded separately)
• Excision of a lesion (11600 - 11646) with adjacent tissue transfer – Code only adjacent tissue transfer.
• Use only one code to report the additional excision / re-excision based on the final widest excised
diameter required for complete tumor removal at the same operative session.
• To report a re-excision procedure performed to widen margins at a subsequent operative session use
(11600 - 11646) as appropriate.
• Append modifier 58 if the re-excision procedure is performed during the postoperative period of the
primary excision procedure.
Repair (Closure)
• Closure of wound may be classified as,
• 1. Simple (12001 - 12021)
• 2. Intermediate (12031 - 12057)
• 3. Complex (13100 - 13153)
• Simple repair (One layer closure): Superficial wound (Primarily involving dermis or epidermis
or subcutaneous tissue without involvement of deeper tissue) Includes local anaesthesia.
Simple one layer closure
• Intermediate repair (Layered closure) Closure involving epidermis, dermis, subcutaneous
tissue, superficial fascia(non muscle),
• Exception: Single layer closure of heavily contaminated wounds that have required extensive
cleaning or removal of particulate matter
• Complex repair (More than layered closure): More extensive- expsoure of bone, cartilage,
tendon
Repair (Closure)
• Coding guidelines:

• When multiple wounds are repaired – add together the lengths of those in the same
classification (Simple with simple repair) and from all anatomic sites that are grouped
together into the same code descriptor
• Note: Don’t add together lengths of different classification (Simple & complex)
• Don’t add together lengths of repairs from different groupings of anatomic sites (Trunk
& face)
• When more than one classification of wounds is repaired – list the more complicated as
the primary and less complicated as a secondary procedure with the modifier 59.
• Simple ligation of vessels in an open wound is considered as part of any wound closure.
• Wound closure solely with adhesive strips is coded with E/m code
• Simple repair on face 5cm= 12013
• Simple Scalp 2cm= 12001
• Intermediate repair face- 2cm
• Int. ears 2cm= 4cm= 12052
• Complex>int>simple
• 12052, 12013-59,12001-59
Example
• A patient presents to the emergency department with multiple
lacerations. After inspection and cleaning of the multiple wounds the
physician closes the wounds. The documentation indicates the following:
• 2.7 cm complex closure to the right upper abdominal area, a 1.4 cm
complex repair to the right buttock, a 7.4 cm intermediate repair to the
right arm - a 3.8 cm intermediate repair to the left cheek, an 8.1 cm
intermediate repair to the scalp, and a 2.3 cm simple repair the right
lower lip.
• 4.1cm trunk complex,int-arm,cheek.scalp 8.1+7.4=15.59,lip
• 13101,12035-59,12052-59,12011-59
Ans- 13101, 12035-59, 12052-59, 12011-59

• Repairs within the same anatomical location are added together. The abdomen
and buttock are both part of the trunk, so these repairs are added together. The
most complex repair is coded first; CPTR code 13101 is reported for the complex
repair of abdominal and buttock with total closure of 4.1 cm. The arms and scalp
are in the same anatomical category, so the repair length for the arm and scalp are
added together.
• CPT code 12035-59 is reported for the intermediate repair of for the arm and scalp
with total closure of 15.5,
• CPT code 12052-59 is reported for the 3.8 cm intermediate repair of the cheek and
• CPT 12011-59 is reported for the 2.3 cm simple repair of the lip.
• The CPT guidelines state to use modifier 59 when more than one classification of
wounds is repaired.
Adjacent Tissue transfer / Rearrangement

• Z –plasty, W-plasty, V-Y plasty, rotation flap, random island flap,

advancement flap – Use CPT 14000 – 14302 (Excision and/ or repair
by adjacent tissue transfer)
• Don’t code excision codes (11400-11446 & 11600-11646) along with
adjacent tissue transfer
• Skin graft to close secondary defect is considered as an additional
procedure.
 Skin Replacement Surgery

• Skin Replacement surgery consists of, 1) Surgical preparation

2) Topical placement  A) Autograft (Including tissue cultured autograft)
 B) Skin substitute graft (Homograft, allograft, Xenograft)
• If services are performed in the office – Routine dressing are not reported separately
• Measurements apply to the size of the recipient area,
A. Age 10 yrs or below: Percentage is applicable.
B. Age: 10 yrs or older: Sq cm is applicable
• Procedures involving Wrist/ankle – Use the code that includes arm or leg in the description.
• Fpr biological implant for soft tissue reinforcement 15777
• To supply skin substitude graft 15271-15278
• Arm- 250sqcm=15002, 15003*2
• Neck 330sqcm= 15004, 15005*3
Surgical Preparation 15002 – 15005
• Initial service (Preparing a clean and viable wound surface for placement of an
autograft, flap, skin substitute graft (or) for negative pressure wound therapy)
• Don’t report 15002 – 15005 for removal of nonviable tissue/debris in a chronic
wound if the wound is left to heal by secondary intention – Refer Debridement codes
or active wound management codes.
• Code selection is based on 1) Location
• 2) Size of the defect
• 3) For multiple wounds: Sum the surface area of all wounds from all anatomic
sites that are grouped together into the same code descriptor.
• Eg: Surgical preparation of a 25 sq cm wound on the scalp and a 15 sq cm wound on
the face. (Totally 40 sq cm)
• Ans: 15004 - for 40 sq cm
Surgical Preparation 15002 – 15005
• Eg: Surgical preparation of a 75 sq cm wound on the trunk and a 75 sq
cm wound on the right thigh. (Totally 150 sq cm)
• Ans: 15002 - For the first 100 sq cm
• 15003 - Remaining 50 sq cm
Autograft:- CPT 15040 – 15261
• Include the harvest (15040) and/or application on an autologous skin graft.
• Repair of donor site requiring skin graft or local flaps is coded separately.
• Code selection is based on 1) Type of autograft (Split thickness, Epidermal, Dermal, Tissue cultured,
Full-thickness Graft)
• 2) Location (Hand, Feet, Trunk etc)
• 3) Size of the defect.
• General Information's: -Autograft - A graft of tissue from one point to another of the same
individual's body.
• A split-thickness skin graft (STSG) is a skin graft including the epidermis and part of the dermis
• A full-thickness skin graft (FTSG) consists of the epidermis and the entire thickness of the dermis.
• Tissue Cultured: the maintenance or growth of cells in an incubator after removal from the
body. Maybe an alternative for the treatment of full-thickness wounds and wounds that cover large
areas of the body surface
Skin Substitute graft: CPT 15271 – 15278
Allograft, homograft, xenograft.
• Less than 100 sq cm – 15271, +15272 & 15275, +15276
• Greater than 100 sq cm – 15273, 15274 & 15277, 15278
• For supply of skin substitute graft, code additionally in conjunction with
CPT 15271 - 15278
• General Guidelines for Graft: For multiple wound – Sum the surface area
of all wounds from all anatomic sites that are grouped together into
the same code descriptor. (Eg: trunk and arms).
• Don’t Sum wounds from different groupings of anatomic site. (Eg: Face
and arms)
• Removal of current graft and/or simple cleaning of the wound is included
• 80sqcm= leg= 15271 80-25= 55.25+25+5
• 15271,15272*3
• 180sqcm leg= 15273, 15274
 Skin Substitute graft
• Eg: A55 yrs old male was admitted to hospital with burns on the trunk (140 sq cm), arm (100 sq
cm), neck (70 sq cm) and face (60 sq cm), Surgical excision of the burn tissue was performed two
days ago (reported separately). Now undergoes skin substitude graft application trunk, arm, neck
and face.
• Ans: 15273, +15274 x 2 of skin substitute graft on his trunk, 15277, +15278
• Rationale: As per guidelines don’t combine different groupings of anatomic site. But can combine
all anatomic sites that are grouped together into the same code descriptor. Hence we are
combining (Trunk and Arm = 240 sq cm) and (Neck and face = 130 sq cm).
 In trunk and arm = 240 sq cm
15273 is for first 100 sq cm, +15274 for additional 100 sq cm +15274 for additional
40 sq cm.
 In neck and face 130 sq cm 15277 is for first 100 sq cm, +15278 for additional 30 sq cm
 15273,15274*2,15277,15278
MOHS MICROSCOIC SURGERY
• When coding Mohs micrographic surgery technique, understand the
difference between the terms "stage(s)" and "tissue block(s).
• " The term stage(s) refers to the removal of a layer(s) of tissue. Each
removed stage is divided into tissue blocks. Each stage may be divided
into one or more tissue blocks.
• CPT' breaks Mohs down by each stage and up to five tissue blocks.
Add-on codes are available for additional stages and additional tissue
blocks beyond the initial five blocks
• 2 anatomical group- first stage- upto 5 tissue blocks
• 17311,+17312,17313,+17314
• Add on code- each additional stages- up to 5 tissue blocks
• 17315= each additional block after 5 any stages
• Head-
• 3stages-
• First= 7 17311 = 2pending
• Second=5 17312 =0
• Third=8 17312 =3 pending
• 17311,17312*2, 17315*5
• Arms
• Stage 1---5 tissue block-0
• Stage 2---8 tissue block-3
• Stage 3---7 tissue block-2
• 17313,17314,17314,17315*5
BURN
• CPT' codes 16000-16030 report local treatment of the burn surface
only
• These codes describe the application and dressing changes for burn
wounds and any associated debridement or curettement.
• They do not include E/M services involving history, exam, and medical
decision making for concurrent systemic problems of the patient.
• When reporting a skin grafting procedure following debridement,
choose the appropriate code for debridement(16000-16030) followed
by the appropriate CPT' code from 15100-15650 to report the skin
graft
Destruction benign/ premalignant and
malignant lesion
• Premalignant 17000,+17003, 17004
• Benign- 17110,17111
• Malignant anatomical location and size of lesion 17260-17286
• Example. PRE MALIGNANT LESION 12 IN NUMBER –
• Ans is 17000, 17003*11
• PRE MALIGNANT LESION 16 IN NUMBER - 17004
Breast Biopsy Coding Guidelines

• Ultrasound-Guided Breast Biopsy:

If Biopsy of the breast is performed using ultrasound guidance, then we have to assign CPT 19083
(first lesion) and 19084 (additional lesions biopsied), No need to add ultrasound guidance code as like
previously we used to code, now it is inclusive with the surgery procedures.
• CPT 19083: Biopsy, breast, with the placement of breast localization device(s) (eg, clip, metallic
pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first
lesion, including ultrasound guidance
• + CPT 19084: Biopsy, breast, with the placement of breast localization device(s) (eg, clip, metallic
pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each
additional lesion, including ultrasound guidance (List separately in addition to code for primary
procedure).
• Localization device placement and specimen imaging are not required for this code, but they are
included if performed.
• These codes include ultrasound guidance.
Breast Biopsy Coding Guidelines
• How to code Ultrasound-guided breast biopsy: Eg, 1. Single lesion – 19083
• 2. Two lesions – 19083, 19084
• 3. Three lesions – 19083, 19084 x 2
• Note: No need to add CPT 76942 (US) it’s included with the CPT 19083.
• Ultrasound-Guided Breast Cyst Aspiration:If breast cyst aspiration is performed by using ultrasound
guidance, then we have to assign CPT 19000 (first breast cyst) for additional cysts use CPT (19001). These
codes should be followed by guidance code, for eg, CPT 76942 (Ultrasound guidance).
• CPT 19000: Puncture aspiration of cyst of the breast, first cyst
• + CPT 19001: Puncture aspiration of cyst of the breast; each an additional cyst (List separately in addition to
code for primary procedure).
• If the provider performs the procedure under image guidance, then we should use the appropriate
guidance code such as CPT 76942 for ultrasound or CPT 77021 for magnetic resonance imaging along with
CPT 19000.
•

•
Ultrasound-Guided Breast Cyst Aspiration
• How to code ultrasound-guided breast cyst aspiration: Eg,
• 1. Single cyst – 19000, 76942
• 2. Two cysts – 19000, 19001, 76942
• 3. Three cysts - 19000, 19001 x 2, 76942
•
How to code MRI guided breast cyst aspiration: Eg,
• 1. Single cyst – 19000, 77021
• 2. Two cysts – 19000, 19001, 77021
• 3. Three cysts - 19000, 19001 x 2, 77021
•
• Note: For Ultrasound-guided FNA (Fine Needle Aspiration) 10005 & 10006
•
• 19081-19086 = percutaneous bx with guidance= includes placement of localization
device
• 19081,19082 = st = 19081,19082*4
• 19083,19084 = usg = 19083,19084
• 19085.19086 = MR = 19085, 19086*2

• Open bx 19101= clip = 19281-19288

• 19101,19283
• 19100
• Modifier – 50 bilateral procedure - b/l bx using MR guidance – 19085, 19086
• Open bx bilateral= 19101-50
Ultrasound-Guided Placement of localization device:

• CPT 19285: Placement of breast localization device(s) (eg, clip, metallic pellet,
wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound
guidance
• + CPT 19286: Placement of breast localization device(s) (eg, clip, metallic pellet,
wire/needle, radioactive seeds), percutaneous; each additional lesion, including
ultrasound guidance (List separately in addition to code for primary procedure),
• These codes include ultrasound guidance.
• How to code: Eg,
Single lesion – 19285
Two lesions – 19285, 19286
Three lesions – 19285, 19286 x 2
• Note: No need to add CPT 76942 (US) it’s included with the CPT 19285
Stereotactic Guided Breast Biopsy:

• CPT 19081: Biopsy, breast, with the placement of breast localization device(s) (eg, clip, metallic
pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous;
first lesion, including stereotactic guidance.
• Note: When a provider performs more than one breast biopsy using the same imaging modality,
use add on code whether the additional service is on the same or contralateral breast.
• For example, for each additional lesion biopsied under stereotactic guidance whether the
additional lesion is on the same or contralateral breast, Use +19082.
• If the physician performs the additional biopsies using different imaging modalities, report another
primary code for each additional modality.
• + CPT 19082: Biopsy, breast, with the placement of breast localization device(s) (eg, clip, metallic
pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous;
each additional lesion, including stereotactic guidance (List separately in addition to code for
primary procedure). MUE: 2 units
• These codes include stereotactic guidance
Stereotactic Guided Breast Biopsy
• How to code: Eg, Single lesion – 19081 Two lesions – 19081, 19082
• Three lesions – 19081, 19082 x 2
• Stereotactic Guided Placement of Localization device in Breast:
• - CPT 19283: Placement of breast localization device(s) (eg, clip, metallic pellet,
wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance.
• - + CPT 19284: Placement of breast localization device(s) (eg, clip, metallic pellet,
wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic
guidance (List separately in addition to code for primary procedure). MUE : 2 Units
• These codes include stereotactic guidance
• How to code: Eg, Single lesion – 19283 Two lesions – 19283, 19284
• Three lesions – 19283, 19284 x 2
•
MRI Guided Breast Biopsy:

• CPT 19085: Biopsy, breast, with the placement of breast localization device(s) (eg, clip,
metallic pellet), when performed, and imaging of the biopsy specimen, when
performed, percutaneous; first lesion, including magnetic resonance guidance
• - CPT 19086: Biopsy, breast, with the placement of breast localization device(s) (eg,
clip, metallic pellet), when performed, and imaging of the biopsy specimen, when
performed, percutaneous; each additional lesion, including magnetic resonance
guidance (List separately in addition to code for primary procedure), MUE : 2 Units
• · These codes include MRI guidance
• How to code: Eg, Single lesion – 19085
• Two lesions – 19085, 19086
• Three lesions – 19085, 19086 x 2
•
• Breast bx bilateral using stereotactic guidance- 19081, 19082
MRI Guided Placement of Localization device:

• CPT 19287: Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle,
radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance
• - CPT 19288: Placement of breast localization device(s) (eg clip, metallic pellet,
wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic
resonance guidance (List separately in addition to code for primary procedure), MUE : 2
Units
• These codes include MRI guidance
• How to code: Eg, Single lesion – 19287 Two lesions – 19287, 19288
• Three lesions – 19287, 19288 x 2
• Note: To report bilateral image-guided breast biopsies, report 19081, 19083, or 19085 for
the initial biopsy. The contra-lateral and each additional breast image guided biopsy are
then reported with code 19082, 19084 or 19086
Breast biopsies
• Breast biopsies, without image guidance, are reported with CPT 19100 and
19101
• CPT 19100: Biopsy of the breast; percutaneous, needle core, not using
imaging guidance (separate procedure),
• · When the provider performs a biopsy on more than one site on the same
side, report the subsequent biopsies with modifier 59.
• ·CPT 19101: Biopsy of the breast; open, incisional,
• Incisional biopsy is different from an excisional biopsy. An incisional biopsy,
the provider removes only a small lump that she sends to pathology for
further analysis; an excisional biopsy involves removal of the entire lump.
Points to be remembered
• When more than one biopsy or localization device placement is
performed using the same imaging modality, use an add-on
code whether the additional service(s) is on the same or contralateral
breast
• If additional biopsies or localization device placements are performed
using different imaging modalities, report another primary code for
each additional biopsy or localization device placement performed
using a different image guidance modality.
• Do not report 19281-19288 in conjunction with 19081-19086, 76942,
77002, and 77021 for same lesion.
• 19081-19086= breast bx using guidance including breast localization
placement device
• 19081,+19082=stereotactic
• 19083,+19084= usg = rt , lt =19083, +19084
• 19085,+19086= MR

• Breast bx- open= 19101. breast localisation device=19281-19288

• Breast bx-percutaneous,core needle= 19100
• 19101, 19281