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Breast aspiration with mammography or stereotactic guidance

Date: Dec 3, 2023

Question:

If the providers are performing a puncture aspiration of the breast (19000) stating with "mammographic or stereotactic guidance", what codes would you suggest to capture the guidance? We can't report 19081-19082, 19281-19284, as they are not using any localization devices and no biopsies are being performed. I understand that a mammogram could be done in advance or post-op, and in those cases a mammogram code could be used. But the provider is calling this mammographic or stereotactic GUIDANCE.

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