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With the start of the new year comes the annual CPT code update. Effective January 1, 2019, several new CPT codes will become available for reporting Fine Needle Aspiration (FNA) Biopsy. FNA biopsies are reported based on the type of imaging modality (ie. ultrasound, fluoroscopy, CT, MR, etc) and the number of lesions biopsied. For FNA biopsies performed without imaging guidance, report CPT 10021.

More than one FNA biopsy may be reported on the same day, in the same session, and using the same imaging modality, if any. When more than one imaging modality is used within the same session, add modifier 59 to the subsequent imaging modality code(s). Note: Imaging guidance codes (769472, 77003, 77012, 77021) may not be reported with FNA biopsies (10004-10021).

The FNA Biopsy codes include the following updates:

  • 10021 (Revised) – Fine needle aspiration biopsy, without imaging guidance; first lesion.
  • 10022 (Deleted) – Fine need aspiration with imaging guidance
  • 10004 (New) – Fine needle aspiration biopsy, without imaging guidance; each additional lesion
  • 10005 (New) – Fine needle aspiration biopsy, including ultrasound guidance; first lesion
  • 10006 (New) – Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion
  • 10007 (New) – Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion
  • 10008 (New) – Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion
  • 10009 (New) – Fine needle aspiration biopsy, including CT guidance; first lesion
  • 10010 (New) – Fine needle aspiration biopsy, including CT guidance; each additional lesion
  • 10011 (New) – Fine needle aspiration biopsy, including MR guidance; first lesion
  • 10012 (New) – Fine needle aspiration biopsy, including MR guidance; each additional lesion