![]() ![]() Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretationĬPT codes not covered for indications listed in the CPB: Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous first lesion, including magnetic resonance guidance Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous first lesion, including ultrasound guidance Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous first lesion, including stereotactic guidance Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous first lesion, including mammographic guidanceĮach additional lesion, including mammographic guidance (List separately in addition to code for primary procedure) Table: CPT Codes / HCPCS Codes / ICD-10 Codes CodeĬPT codes covered if selection criteria are met:īiopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous first lesion, including stereotactic guidanceĮach additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)īiopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous first lesion, including ultrasound guidanceĮach additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)īiopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous first lesion, including magnetic resonance guidanceĮach additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure) CPB 0517 - Breast Ductal Lavage and Fiberoptic Ductoscopy. ![]() CPB 0105 - Magnetic Resonance Imaging (MRI) of the Breast.CPB 0071 - Positron Emission Tomography (PET).Use of the MarginProbe for intra-operative margin assessment during breast surgery.Use of magnetic seeds (e.g., Magseed), and the SAVI SCOUT surgical guidance system during localized excisional biopsy or lumpectomy.Three-dimensional (3D) volumetric imaging and reconstruction of breast or axillary lymph node tissue.Other minimally invasive image-guided breast biopsy procedures (i.e., those not mentioned above) (e.g., PET-guided breast biopsy (Naviscan)).The following procedures are considered experimental and investigational because the effectiveness of these approaches has not been established: Vacuum assisted core-needle biopsy (Mammotome™ device).Īetna considers digital breast tomosynthesis-guided breast biopsy an equally acceptable alternative to mammographically guided biopsy for medically necessary indications.Ultrasound-guided core-needle biopsy or.Stereotactically guided core-needle biopsy or.Radioactive seed localization (RSL) or radio-guided occult lesion localization (ROLL) of non-palpable breast lesions for locating lesions to guide excisional biopsy or breast-conserving surgery or.Advanced Breast Biopsy Instrument (ABBI) or.This Clinical Policy Bulletin addresses breast biopsy procedures.Īetna considers any of the following minimally invasive image-guided breast biopsy procedures medically necessary as alternatives to needle localization core surgical biopsy (NLBx) in members with abnormalities identified by mammography that are non-palpable or difficult to palpate (i.e., because they are deep, mobile, small (less than 2 cm), or are composed of clustered microcalcifications): Number: 0269 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |