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The CPT® Code 10007 refers to a fine needle aspiration biopsy (FNA) that includes fluoroscopic guidance for the first lesion being biopsied. This procedure involves the use of a fine gauge needle, typically either a 22-gauge or 25-gauge, along with a syringe to extract fluid from a cyst or to collect clusters of cells from a solid mass. The process begins with the cleansing of the biopsy site, followed by the physician locating the lump through palpation. In cases where the lump is not palpable, imaging guidance, specifically fluoroscopic guidance, is utilized to accurately assist in the FNA biopsy procedure. For lesions that are more easily localized, fluoroscopic or ultrasound guidance may be employed to enhance precision. Once the needle is inserted into the mass, a vacuum is created, and the physician performs multiple in-and-out motions with the needle while pulling back on the syringe to ensure an adequate tissue sample is obtained. It is common for several needle insertions to be necessary to collect sufficient material for analysis. The collected samples are then prepared by smearing them onto a microscope slide, allowing them to air dry, and subsequently fixing them through spraying or immersion in a liquid. After fixation, the smears are stained and examined under a microscope by a pathologist for diagnostic purposes. Notably, the FNA procedure does not require stitches and is typically performed on an outpatient basis, allowing many patients to return to their normal activities on the same day. After the procedure, a small bandage is applied to the biopsy site. For coding purposes, it is important to report code 10005 for the first lesion biopsied by FNA with ultrasound guidance, code 10006 for each additional lesion biopsied with ultrasound guidance, code 10007 for the first lesion biopsied with fluoroscopic guidance, and code 10008 for each additional lesion biopsied with fluoroscopic guidance.
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The fine needle aspiration biopsy (FNA) procedure, as described by CPT® Code 10007, is indicated for various clinical scenarios where tissue sampling is necessary. The following conditions may warrant the use of this procedure:
The fine needle aspiration biopsy procedure involves several key steps to ensure accurate tissue sampling. The following procedural steps are outlined:
After the fine needle aspiration biopsy is completed, the patient typically receives a small bandage over the biopsy site to protect it. The procedure is generally performed on an outpatient basis, allowing patients to resume their normal activities on the same day. There is no need for stitches, which contributes to a quicker recovery. Patients are usually advised to monitor the biopsy site for any signs of complications, such as excessive bleeding or infection, and to follow up with their healthcare provider for results and further management as necessary.
| Short Descr | FNA BX W/FLUOR GDN 1ST LES | Medium Descr | FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION | Long Descr | Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is a primary code that can be used with these additional add-on codes.
| 10008 | Add-on Code Resequenced Code MPFS Status: Active Code APC N ASC N1 Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) |
| LT | Left side (used to identify procedures performed on the left side of the body) | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | RT | Right side (used to identify procedures performed on the right side of the body) | GC | This service has been performed in part by a resident under the direction of a teaching physician | SG | Ambulatory surgical center (asc) facility service | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2019-01-01 | Added | Added |
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