Radiology Question for the Week of December 12, 2016

Question:

Question:

We have a patient for a needle localization using mammography guidance who has lesions in both breasts. Would we use 19281 for the first needle localization and 19282 for the localization of the second lesion in the other breast?

Answer:

Answer:

Yes, report 19281 for the first lesion localized and 19282 for the second lesion, whether in the same breast or the other.

19281 Placement of breast localization device(s) (e.g., clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance
19282 Placement of breast localization device(s) (e.g., clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for primary procedure)