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Paraspinal Aspiration with Biopsy

Date: Feb 4, 2020

Question:

I just wanted to get clarification on how to code the below scenario. I read the guidelines about disc/paravertebral biopsy/aspiration in the new 2020 book, which have changed slightly from last year. I'm still a little confused about how to code a paraspinal lesion aspiration and biopsy. You state that if they do a paraspinal aspiration and adjacent vertebral body biopsy, that the biopsy is included. What if it's a core biopsy of the same lesion? Is this also included in 62267? Or do we code this as 20206?

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