Ask Dr. Z

Steroid injection of the breast: Can 19030 be reported for this with US guidance? My inclination is to report 96372 or 19499 with 76942, but there is no clear direction in the CPT Codebook.

MD input provided of procedure:

"Assess sonographic area of granulomatous mastitis, draw up the steroid mixture smaller area: 2 mL steroid mixed with bupivacaine larger area: 4 mL steroid mixed with bupivacaine to fill 10 mL syringe skin and subcutaneous anesthesia with 1% lidocaine inject steroid/bupivacaine mixture into the area of GM."

This practice will be reporting primarily for pain in the breast/injection with US guidance. Any information you can provide is appreciated. I did see another response for a similar question so understand if this does not get a separate response.