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Bilateral needle localization of the breast

Date: Dec 1, 2011

Question:

I am looking for clarification on the use of CPT 19290 and 19291.  Can 19290 be used for a lesion per breast or does the second lesion in the opposite breast default to the 19291? If so would you use -50 or -59 on the 19290?

Any help would be awesome.
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