Append modifier 59 Distinct procedural service to the second and subsequent units. Correct CPT and ICD-10 Codes: CPT: 49406 49406: Image-guided collection drainage by catheter (e.g. Insurance claim denied. hbbd```b``A$tDr-$w0{9>`v;dfd"YAqlKjd&T8Q_W10\ 6qL Wm Billing for incision and drainage procedures (CPT codes 10060, 10061, 10160) for treatment of paronychia of the foot when avulsion or resection of the toenail has been performed to treat the same condition, is not appropriate. So that, if the doctor only aspirated/injected 1 ganglion cyst it would be 20612 X1 and if more cysts were done, it would be 20612 X1, but the parenthetical instructional note says for multiple cysts add modifier -59 which indicates that each cyst would be coded with all after the first get a -59. An aspiration is a procedure to remove extra fluid from a part of your body. (See "Indications and Limitations of Coverage.") % l-qR?B,KKw+q/ tB}@JrZ0Erl dvHQS`kNf:s\EKus3g8GNGL T@yJLj|^ a;M,8q(&!&B 3=QxU7{|s21n;rtA]edrLb4TpyU~qKoV)]8gZ#N:|/2|NB+n3$YV$~\`)?JHr^ stream M70.62 Trochanteric bursitis, left hip. The CMS.gov Web site currently does not fully support browsers with Code 49185 Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed describes sclerotherapy of a fluid collection, such as a lymphocele, cyst, or seroma, and includes related contrast injection, diagnostic study, imaging guidance, and radiological suction and irrigation. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. The following three CPT Codes have replaced the above codes: CPT 49082 Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance CPT 49083 with imaging guidance CPT 49084 Peritoneal lavage, including imaging guidance, when performed Paracentesis CPT Code Changes As we have mentioned that CPT 49080 and 49081 has Ywk(JCfH,! +"\4:=^ KRze%FN)c\TmdXikkCPt Dl[`G \`ymA4w I 7lZ~u 0 Draft articles have document IDs that begin with "DA" (e.g., DA12345). He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City. The physician manually aspirated 15 cc of yellow material with a 5 French Yueh centesis catheter needle, which was submitted for culture and sensitivity. Going beyond just getting the job done, we can help create sustainable improvement as part of your medical billing team. :\B} n0ZVw`f$]~Tl{:Xtc{OOpqdol=]MauYA%UEyF%2'qJ=T4hW)9L( Privacy Policy | Terms & Conditions | Contact Us. For a better experience, please enable JavaScript in your browser before proceeding. CPT 10021, Under Fine Needle Aspiration Biopsy Procedures The Current Procedural Terminology (CPT) code 10021 as maintained by American Medical Association, is a medical procedural code under the range - Fine Needle Aspiration Biopsy Procedures. One may also ask, what is the CPT code for needle core biopsy? Arthrocentesis, aspiration, or injection is the process of inserting a needle into a joint or bursa to inject medication, or aspirate fluid for diagnosis or pressure relief. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. He has been writing and publishing about healthcare since 1979. CPC: Director of Revenue Cycle Management, CPC: Senior Solutions Manager: Practice and RCM, Outsource Strategies International. Paronychia, when sufficiently treated with avulsion of the nail only, should be billed with CPT code 11730 and not as an incision and drainage. This is called aspiration. But in reading the replys it looks like Arlene would know best! The physician describes the collection as a postprocedural hematoma of the subcutaneous tissue. Claims for CPT codes 10060 or 10061 with diagnosis of furuncle/carbuncle (ICD-10-CM code L02.621, L02.622, L02.631, L02.632), suppurative hidradenitis (ICD-10-CM code L73.2) will be subject to review, as these diagnoses are not commonly found in the foot. Ultrasound guided fine needle aspiration biopsy on a single, left thyroid nodule CPT Code 10005 RT, Ultrasound guided fine needle aspiration biopsy on a left thyroid nodule and a right thyroid nodule: CPT Code 10005- RT; CPT Code +10006-LT, Identify the location of each treated lesion, Provide a detailed description of each treated lesion, When guidance is used, identify the type of modality (such as ultrasound, fluoro, CT, MR) for every lesion treated, Explain medical necessity for each treated lesion. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration A relatively non-invasive, less painful and quicker method than surgical biopsy, FNA can help make a diagnosis or rule out conditions such as cancer. CDT is a trademark of the ADA. The scope of this license is determined by the AMA, the copyright holder. If CPT provides a code to report a percutaneous, image-guided fluid collection procedure for anatomic areas not defined by codes 10030 or 49405-49407 (e.g., 32554 20612-59 an effective method to share Articles that Medicare contractors develop. List of HCPCS codes and CPT codes for Pap smear coding and billing Commercial insurance and Medicare. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 64490, 64491, 64493, 64494, 64633, 64634, 64635, 64636, and 64999 (facet cyst aspiration/rupture). eVwML 9k6&_'-2x $t6L><20#~( 9GC.R"zHSa|srWNKku.">m$nB>=9}vPp>>(Wb ~{Xm~'. This code includes endoscopic ultrasound (EUS) of the esophagus, stomach, and either the duodenum or a surgically-altered stomach where the jejunum is examined distal to the anastomosis. I have always thought that if grammar for singular and plural i.e. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. What is Bundling and Unbundling in Medical Coding? Medicare contractors are required to develop and disseminate Articles. copied without the express written consent of the AHA. Copyright © 2022, the American Hospital Association, Chicago, Illinois. CPT codes 10060, 10061 or 10160 are payable for ICD-10-CM codes L02.611, L02.612, L98.8 only. However, the documentation must be clear as to the reason more definitive therapy is not appropriate. H>H Site muscle unlisted code 20999 or what? Copyright 2023, AAPC used to report this service. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Ultrasound-guided cyst aspiration is a simple procedure performed by placing an ultrasound probe over the site of a breast cyst and numbing the area with local anesthesia. I am seeing other online posts saying code 36470 would be the correct code. Multiple abscesses or fluid collections in the same patient requiring drainage, more than two times per year in the same location is uncommon. She is CPC certified with the American Academy of Professional Coders (AAPC). Code 51102, Aspiration of bladder; with insertion of suprapubic catheter, involves performance of a stab wound on the lower abdomen (approximately 1 cm) above the pubis. A trocar suprapubic tube is inserted into the bladder. The balloon is inflated and the tube sutured into place. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. Meghann joined MOS Revenue Cycle Management Division in February of 2013. CPT categorizes the codes based on the type of joint or bursa, and whether ultrasound guidance is performed. Article document IDs begin with the letter "A" (e.g., A12345). The views and/or positions presented in the material do not necessarily represent the views of the AHA. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. You must append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service to the appropriate E/M service code. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. For a better experience, please enable JavaScript in your browser before proceeding. You can use the Contents side panel to help navigate the various sections. Some collections can be left alone while others like bleeding and abscess require prompt treatment. Imaging should not be reported with any of the new FNA codes. It may not display this or other websites correctly. (See "Indications and Limitations of Coverage.") 77012 Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation Documentation Requirements: The patient's medical record must contain documentation that fully supports the medical necessity for services included within the LCD. %Jw{tW@!B#3QN}> uLG)1Qnd`G6Fu>k'_5hE B\WurdN_i = `Xh eEosYzsnCBK:{Ia!N5O)9+iDARJJ6~f0H#Uq;_V c/K:O\~U:?,"Y4D`gE"Hs[TAhy++8;q\:>4._S}^|h{F2OHm \EXS qRm5f')4,GjL^hGw5| 5VM%w%D2J4"bp+d|#OK ||;3`oqt@,MYCDu?ccUK{O3M %3m6'c}_3o3jmu=p-+9E_,-h?t0Xdbpa7+,A9EcfXJ46/>i@6nu#:l36.s17{b''? K.H*uZ2%pz Earn CEUs and the respect of your peers. THE UNITED STATES Code History complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. CPT Code (s): 88173; this CPT code may also be reported in conjunction with aspiration of the specimen (10021) and/or immediate on-site evaluation of the specimen (88172). ,m3'u@ZfY*[rd8i^5Cmt9$cX{fI8F+_=nokznT@!`#&9H8fz\B2:O&+rzVeMKhK}qIxpK/\0TXf@U0k*eAIgaA}d6!QNYx::jgVh5;^EyUfe7}OUY?_Q$-'" l{4o(tt9)40)@=gF0jE9o If your session expires, you will lose all items in your basket and any active searches. Group 1 Codes ICD-10-CM Codes that DO NOT Support Medical Necessity Report a single unit of 49185 for connected lesions. JavaScript is disabled. You are using an out of date browser. 20612-29 Jh,J#cG&%$q2Gz2Ld.a,3hoNd Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) Injection, therapeutic; single tendon origin or insertion (20551) Arthrocentesis, Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential recommending their use. Contractors may specify Bill Types to help providers identify those Bill Types typically For example, an established patient presents to the office for evaluation of left knee pain and other complaints, such as systemic sclerosis. All Rights Reserved (or such other date of publication of CPT). Psoas muscle (abscess) aspiration - what is the CPT code for this procedure? Revenue Codes are equally subject to this coverage determination. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Proper documentation is necessary to ensure accurate coding. I have been looking at this procedure note for a week and am totally stumped, so I thought I'd put this out for suggestions. Current Dental Terminology © 2022 American Dental Association. You may separately report an evaluation and management (E/M) service with the arthrocentesis, aspiration, or injection codes, provided the service is significant and separately identifiable from the procedure. Partial or complete avulsion of the toenail is a common treatment for paronychia in association with an ingrown nail. This should be reported: m5md]+Wl+C/. In fact, incision and drainage is not commonly performed for treatment of paronychia in the foot without avulsion of the toenail. registered for member area and forum access. If this is your first visit, be sure to check out the. The correct use of an ICD-10-CM code listed below does not assure coverage of a service. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act. }x9 " It is a misuse of therapeutic injection or aspiration CPT codes to report administration of local anesthesia for a procedure. He cant bill for the J code because is inclusive to the procedure 20612, am I correct? endstream endobj 234 0 obj <>>>/Filter/Standard/Length 128/O(R3UfV=T;in)/P -1340/R 4/StmF/StdCF/StrF/StdCF/U(\nx~j )/V 4>> endobj 235 0 obj <>/Metadata 16 0 R/PageLayout/OneColumn/Pages 231 0 R/StructTreeRoot 33 0 R/Type/Catalog>> endobj 236 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 237 0 obj <>stream 7(m-X?_"e^W:&b,i6 Please visit the. You are using an out of date browser. If you would like to extend your session, you may select the Continue Button. The breast radiologist then places a small needle directly into the cyst and withdraws fluid. Any claims which include a diagnosis of hidradenitis (ICD-10-CM code L73.2) will be excluded from this parameter. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work +77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. You still bill for the procedure that was done. If more than a 24-hour delay is anticipated between collection and receipt in the laboratory, please add the following: 1 mL (1000 units) of heparin for each 300 mL of collected fluid. How does this related to the "findings" description? He has been writing and publishing about healthcare since 1979. @[WH2bkaR|_: } IGt9VYN0LX!^Tty{)R^IOv5 9^=7%#!2DT9n? This information must be available in the patient's record, if requested for review purposes. For example, 20610 specifies arthrocentesis, aspiration, and/or injection of a major joint or bursa. Per CPT guidance, if an aspiration is performed on a major joint/bursa, and an injection is performed immediately following the aspiration on the same major joint/bursa, report 20610 one time. Another option is to use the Download button at the top right of the document view pages (for certain document types). apply equally to all claims. New add-on CPT codes to report each separate lesion beyond the first lesion based on whether imaging guidance is used-and, if so, which type (ultrasound, fluoroscopy, CT, or MR). VLn e5}rt yUzzTae}:M_5cIF}l Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. }r v5B{Ev;v%JeX! +yz"zD}W~j;V;Hh9l]nr. (,UpLo7tsPHE4B@AZn!i? No change: Evaluation of fine needle aspirates is still reported with CPT codes 88172 and 88177. SEROMA OR FLUID COLLECTION 10160 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST 10180 INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION CPT/HCPCS Modifiers N/A. Your MCD session is currently set to expire in 5 minutes due to inactivity. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Privacy Policy | Terms & Conditions | Contact Us. Applicable FARS/HHSARS apply. By Dawson Ballard, Jr., CPC, CPC-P, CEMC, CPMA, CRHC, CCS-P Some articles contain a large number of codes. But, 49185 solely reports using the technique for fluid collections. UDwY3OeF y_W$HiGC$2TO{dD3CG?*?d%NuM9j~{/QGr3MW7H\|x+MI]wu]m8{.tkr`~-TZCR`Gpt|i&ZX!ly4hCq%ZZn3rkPpEbF>^x[B]>*x%)$+!o7*h@"{KB~WdzxQ_5$(|l-n/LCLm!Fn#`@(~,)J46T86PX~"ANCX=]Un6B 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 The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This should be reported: )M Loralee joined MOS Revenue Cycle Management Division in October 2021. End Users do not act for or on behalf of the CMS. 2(#kQ,xne}KL3qaDp3cVjH0MsdC=VQ'Bin (tv=@q~/`pY9 8rWWMg)V-m_B/ISW5}T\(0uF\]a1eU\+YC48MS ^PXfA}1-rM=Q6A>kHbyUpLd;g])t\}3*765ASyR}7qop 009001: Fine Needle Aspiration Cytology | Labcorp Fine Needle Aspiration Cytology TEST: 009001 CPT: 88173 Print Share Include LOINC in print Synonyms Breast Breast Cyst Fluids Lymph Nodes Salivary Gland Thyroid Thyroid Cysts Test Includes Cytologic evaluation of specimens obtained by fine needle aspiration from lesions of all body sites If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. CPT codes 10060, 10061 or 10160 are payable for ICD-10-CM codes L02.611, L02.612, L98.8 only. Reproduced with permission. No fee schedules, basic unit, relative values or related listings are included in CPT. CMS and its products and services are Providers billing incision and drainage services for this condition must have medical record documentation available to Medicare on request. This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures. Sign up to get the latest information about your choice of CMS topics in your inbox. As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. Dawson Ballard, Jr., CPC, CPC-P, CEMC, CPMA, CRHC, CCS-P, is an AAPC Fellow and a coder for Mid-America Rheumatology Consultants. In 2019, there are several changes to FNA CPT codes. By Terri Brame, MBA, CHC, CPC, CPC-H, cyst(s) would mean to report 1 unit of the code for one OR more. May someone please help with figuring out the corrected code to use for aspirating serosanguineous fluid. This even applies to the global period for definitive fracture care. Individual CPT Codes CSF Coding for Clinicians Coding for Clinicians Home ICD-10 Codes E&M Codes CPT Codes CPT Codes for Studies About Us Contact Us Individual CPT Codes CSF Home CSF Related Procedure Codes Individual CPT Codes CSF Show entries Search: Previous 1 2 Next Complete absence of all Bill Types indicates Personally I would use an E/M code no global and the E/M probably depending on the documentation would reimburse about the same; again depending on the documentation that the physician provided. G gherimicheleCPC Guest Messages 80 Location Modesto California Article - Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures (A56766). CPT codes for these procedures are 20600-20615. In some cases, sampling will be needed when infection is suspected. While every effort has been made to provide accurate and AAPC points out that providers can mix and match the primary and add-on codes in any combination necessary to report medically-necessary services rendered. Providers will be notified of this requirement individually and prior to such a requirement being instituted. The provider performs an aspiration of the left knee and orders a complete transthoracic echo for the systemic sclerosis. This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures. j9j9m2Z@}o@{:h^^ Then only CPT codes 10060, 10061, 10160 should be used and not combined with CPT codes 11750 or 11765. For diagnostic tests, report the result of the test if known; otherwise the symptoms prompting the performance of the test should be reported. The AMA is a third party beneficiary to this Agreement. The document is broken into multiple sections. She has over five years of experience in medical coding and Health Information Management practices. q[X3 Note: ICD-10 Codes M71.30 or M71.38 is allowed for facet cyst rupture procedures only. Complete absence of all Revenue Codes indicates not endorsed by the AHA or any of its affiliates. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Before sharing sensitive information, make sure you're on a federal government site. registered for member area and forum access. The general guidance for this code is that it is used for aspiration and/or injection of cysts. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City. You must log in or register to reply here. Unless specified in the article, services reported under other You are using an out of date browser. Since the majority of hematomas, seromas and cysts do not require incision and drainage or aspiration, and since this procedure can actually increase the risk of infection, providers reporting these services must document the size, location and quantity of blood, material or serosanguinous fluid drained, as well as the medical necessity of the procedure, (e.g. Is the following scenario correct then?. @E"s/PeN7Nf(BymXL1k@@C1n>u6_D7^dmb(Q8ma2C]%] (M7Q;Ycg/UuL Y+ _U$r3bk@&H,&%Q%KzX X@G=DY(dI #pr lbb3\#3\s)5LMCOf_5UH.=,uqI *?F0-SQuBOiG7.|;YWOfnCCXus`Gr$>jt.=0 Fn&mAgRm{ G=#b)!.XL@@$? Draft articles are articles written in support of a Proposed LCD. Pus-producing paronychia without ingrown toenail is relatively uncommon on the foot. AHA copyrighted materials including the UB‐04 codes and HOW SHOULD I PREPARE FOR THE PROCEDURE? A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. cEBlNVJy4L tFfsmZK[Im2f6bVr4@^q>sPIK[Za=+k-lN4nG&Cx$,"\GxY#-%4H)tL3;6sU"{Cmyp(? 0pai#ShD3`D*Xcl: presented in the material do not necessarily represent the views of the AHA. i3Y@if|)Lx4-]k6wbp9Q << /Length 5 0 R /Filter /FlateDecode >> Larger and complicated DQ!4 {_\-{3~`Lgr &ylh_K$RN k) )#6 URd[_WYO%d]}Y?Db %^N[S~]Zv?7c0YVB>E!b0@M*i OaS4dw3=}QfV|#Go>?+AF'_iIQ|acHT]7he&kB/R{EML(pV(2K9DVK6soiXotl)'X,Sw9Vhc*$aTx0:.&XZ;",8wL&P'Oc)Oegiy:(z:p'_!+r(E*.:?S }=2ajPDhil+YOv AO*jlswUm2\BA& It would be unusual for any individual lesion or collection to require more than two such services. If this is your first visit, be sure to check out the. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the When reporting these procedures, pay close attention to the description of the codes. In the case of fractures, however, some follow-up care (i.e., x-rays, cast supplies, and cast reapplications and modifications) is not included in the global care. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. ` XUi!9ytWU6xRNT~Q_/&H,o>Z0#c\VNXt Xiscp(To*\P kly :@ *@Ig0&T"uf%oUbpj$+UPk-]Ydpg1uwMs_`T w#E%6VW|}{V*sK_$Qp_#pTwL,dxb,`4Zx+P^y#Q% FYY=sJ;_++!\vS~mcwAI}?\3(&PDCCw b`^K(071P2dap=xf$s:F %iZb%:|,'q`|*!|CXmIyC|z4 pW7)5%#glhio +d 9-dK+tA@n::)txF$0Dj>_kHfO:3gYY0{utw^BjtZ[XG;NO^uSih ?Ag$x.~#t-3q? :Qo9i.f^X] qWaZ#N6Q12Y5cV-Z!5;uV$905"6C SZ A8w:o%Bwi ^jYV QyWHX14\idX rOA ?hX -:i=L?LOC @Pvp' 0)uJ/vVBoWU(q&zRYhk Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". The AMA does not directly or indirectly practice medicine or dispense medical services. 10021 -Fine needle aspiration biopsy, without imaging guidance; first lesion +10004 Fine needle aspiration biopsy, without imaging guidance; each additional lesion (list separately in addition to code for primary procedure) FNA Biopsy With Ultrasound Guidance 10005 Fine needle aspiration biopsy, including ultrasound guidance; first lesion
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