General Question for the Week of June 14, 2021

General Compliance Question of the Week

Question:

Our hospital is receiving an edit for CPT® 19285 stating that we need a device code. We use needles for breast localization. Is there an appropriate HCPCS code that I should be adding to the claim?

Answer:

This is a problem when you aren’t using a clip or other totally implantable device as the breast localization codes now require device HCPCS codes when billing under OPPS. Some suggestions might be A4649, A4212, or A4215. For totally implanted devices, you would use A4648.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.