Question

atient's Overview In practice, the assignment of HCPCS level II codes is not done according to individual code sections. Instead, you will review a coding case (e.g., patient record) and determine the codes to assign for all appropriate code sections of HCPCS level II. (In practice, ICD-10-CM and CPT codes are also assigned.) Instructions Code the following case studies using the HCPCS level II index. Make sure you verify each code in the appropriate HCPCS level II code section. Do not forget to add appropriate HCPCS level II modifiers where appropriate. (Assign just the HCPCS level II code for each case study. Do not assign ICD-10-CM or CPT codes.) 1. MAMMOGRAPHY CLINIC NOTE: The patient is a 72-year-old female who presented today for a mammogram. She stated that she has remained up-to-date with her mammograms, and her record shows compliance with yearly screening exams. The patient stated that when performing her self-breast exam about five days ago, she felt a lump in the upper outer quadrant of the left breast. The technician asked her to identify the location of the lump, and it was marked with a BB for mammography. The patient was asked to wait until the radiologist had read the initial x-rays. Upon interpretation, there indeed was a suspicious lesion in the upper outer quadrant of the left breast, approximately 1.5 cm. Another lesion was found in the right lower quadrant of the right breast. The patient was then asked to undergo additional radiographic views bilaterally for further investigation of the lesions. It was thought that the lesion in the left breast was consistent with malignancy, and the patient was counseled by the nurse practitioner regarding the results of the mammography. The lesion found on the right breast was thought to be fibrocystic breast disease, but the patient was counseled to speak to a surgeon about this. We contacted the surgeon's office, and the patient was scheduled tomorrow for biopsy and further evaluation as needed. waveR

What are the codes for this scenario I am so lost :( I know I am needing to code for the mammogram.

Answer 1

77067 (CPT or HCPCS Code)

Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed

Code(s) 19081 and 19083 (CPT or HCPCS Code)

A percutaneous breast biopsy is performed of a right outer quadrant mass in the left breast with stereotactic guidance and of a second lesion in the left lower quadrant of the left breast with ultrasound guidance.

19084(CPT or HCPCS Code)

Each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)   (Use 19084 in conjunction with 19083) Ultrasonic guidance placement of metallic localization clip during breast biopsy · Imaging supervision and interpretation · Each additional lesion