Radiology Question for the Week of January 11, 2021

Radiology Compliance Question of the Week


Do you have any tips on new biopsy code 32408?


Code 32408 describes a percutaneous core needle biopsy of the lung or mediastinum and will replace code 32405. Imaging guidance of any modality is included in 32408, therefore codes 76942, 77002, 77012, or 77021 should not be reported in addition to 32408. If more than one modality of imaging guidance is used for a lung or mediastinum percutaneous biopsy,
all are included in 32408. If percutaneous core biopsies are performed on separate lesions within the lungs or mediastinum, report 32408 for each separately with modifier 59. If a core biopsy of the lung or mediastinum is performed at the same session as a core biopsy with imaging guidance of a separate anatomic location, the imaging guidance for the biopsy of the separate site would be reported with modifier 59. As an example, if a biopsy of an abdominal lesion biopsied under ultrasound guidance is performed at the same session as a lung biopsy performed with any type of imaging guidance, report 32408 plus 49180 and 76942-59

32408 Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed

Our exclusive offer to you: Enjoy our content? There’s a wealth of knowledge to experience that can help you master your coding challenges with our popular resource. Get $50 off your purchase of our Essentials of Interventional Radiology Coding book when you use code CQWSAVE50 at checkout. Offer expires Monday, Feb 8th, and is not combinable with any other offers. Discover the industry-trusted difference today.

This question was answered in an edition of our Radiology Compliance Manager. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

CPT© copyright 2020 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.