Please note this question was answered in 2019. The coding advice may or may not be outdated.
Disc space and end-plate biopsy
Question:
"Utilizing fluoroscopic guidance, three passes into the lesion were made using an 11 gauge OnControl biopsy needle system at the T8-9 disc space via the posterior right paramedian approach. Passes were made into the disc as well as into the inferior end-plate of T8. Aspirated tissue was sent for microbiology, including gram stain, aerobic and anaerobic cultures, smears and cultures for AFB and fungi, as well as cytology and pathology. IMPRESSION: Uneventful fluoroscopically-guided biopsy of the T8-9 intervertebral disc space via the posterior right median approach." Should I report code 20225 since end-plate mentioned, or should I report unlisted code 64999 since it is disc space between T8-T9?
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