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Lymph Node Biopsy with Breast Biopsy 38505

Date: May 21, 2014

Question:

Please assist with coding of the following scenario. There is debate between codes 19083 + 19084 OR 19083 + 38505 (with 76942). "Patient taken to ultrasound suite for biopsy with history of large mass lateral right breast. Right axillary adenopathy. Using direct ultrasound visualization, vacuum-assisted automated core needle samples were obtained from the large mass in the lateral breast using a Celero biopsy device. A marker clip was deployed at the biopsy site under ultrasound guidance. Next, the right axilla was cleansed in a sterile fashion. 1% lidocaine was used for local anesthesia. Using direct ultrasound visualization, vacuum-assisted automated core needle samples were obtained from one of the abnormal axillary lymph nodes using a Celero biopsy device. Pathology report for the axillary tissue shows complete replacement by ductal carcinoma…lymphoid tissue not seen…shows staining with CK7 and GATA, in keeping with breast primary."

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