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3D MRI guided breast biopsy

Date: Sep 11, 2018

Question:

When 3D is used in an MRI-guided breast biopsy, can code 76376 be reported? "A dedicated breast coil was used. Localizing images were obtained of the left breast. Axial T1 weighted 3D images with fat suppression were obtained both before and after the uneventful IV administration of 20 mL of Multihance injected at a rate of 2 ml per second. This study was acquired both before and after the IV administration of gadolinium contrast material. An MRI biopsy was performed for the focal area of non-mass enhancement located in the left breast at 3 o'clock middle depth. This was described on the previous MRI report. The abnormality was approached from the lateral aspect. A 9 gauge biopsy needle was placed adjacent to the abnormality under MRI guidance. Additional MRI images were obtained to document needle placement. Once the needle was documented to be in the correct location, eight specimens were obtained using the Suros ATEC system. A dumbbell-shaped biopsy marking clip was inserted into the biopsy cavity. No immediate complication."

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