The Zhealth website will be down for maintenance from 9am - 12pm on Saturday April, 27.

Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2021. The coding advice may or may not be outdated.

CT guided lung biopsy with ct guided fiducial placement

Date: Feb 24, 2021

Question:

Our facility radiologist in 2020 performed... "CT fluoroscopic guidance, a 17 gauge trocar needle was advanced from the percutaneous entry site through the lung and was positioned just superficial to the nodule. In a coaxial fashion, 4 x 18g core specimens were obtained. The specimen were placed in formalin and transported to the pathology department for evaluation. Samples was also submitted for flow cytometry. Through the introducer trocar, a fiducial marker was placed along the posterior aspect of the mass. The needles were removed, and a sterile Vaseline gauze dressing was applied."  IR wants to use 77012 (CT/fluoro guidance biopsy), but I'm looking at 77014 (CT guidance fiducial). Can one or both be used?

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!