Ask Dr. Z

Patient presents with microcalcifications at the 6 o'clock position on the left breast. The surgeon performs a stereotactic biopsy with mammotome device, and a post biopsy specimen x-ray is taken. It is my understanding of the new CPT codes for 2014 that this is all included in code 19081. After the specimen x-ray showed only faint microcalcifications, the surgeon repeats the stereotactic biopsy using a larger mammotome needle and places another marker, as well as takes another specimen x-ray. The first marker is removed by the second set of mammotome samplings. Is it correct to report another 19081 with a -59 modifier for this repeat procedure done immediately after the first biopsy of the same area of microcalcifcations?