© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 10008 refers to a fine needle aspiration biopsy (FNA) that includes fluoroscopic guidance for each additional lesion. This procedure utilizes a fine gauge needle, typically 22- or 25-gauge, along with a syringe to extract fluid from cysts or to collect clusters of cells from solid masses. 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, such as fluoroscopy, is employed to assist in accurately targeting the lesion for biopsy. For lesions that are more easily localized, fluoroscopic or ultrasound guidance may be utilized to enhance precision during the procedure. 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, FNA biopsies do not require stitches and are typically performed on an outpatient basis, allowing many patients to resume their normal activities on the same day. After the procedure, a small bandage is applied to the biopsy site. For billing purposes, code 10005 is used for the first lesion biopsied by FNA with ultrasound guidance, code 10006 is designated for each additional lesion biopsied under ultrasound guidance, code 10007 is for the first lesion biopsied with fluoroscopic guidance, and code 10008 is specifically for each additional lesion biopsied with fluoroscopic guidance.
© Copyright 2025 Coding Ahead. All rights reserved.
The fine needle aspiration biopsy (FNA) procedure, as described by CPT® Code 10008, 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 critical steps to ensure accurate tissue sampling. The following outlines the procedural steps as per the CPT® guidelines:
After the fine needle aspiration biopsy is completed, the patient typically receives post-procedure care that includes the application of a small bandage over the biopsy site. Since FNA does not require stitches, patients can usually resume their normal activities on the same day of the procedure. It is important for patients to monitor the biopsy site for any signs of complications, such as excessive bleeding or infection, and to follow any specific aftercare instructions provided by the healthcare provider.
| Short Descr | FNA BX W/FLUOR GDN EA ADDL | Medium Descr | FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL | Long Descr | Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No 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 | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Berenson-Eggers TOS (BETOS) | none | MUE | 2 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 10007 | Resequenced Code MPFS Status: Active Code APC T ASC P3 Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion |
| 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. | LT | Left side (used to identify procedures performed on the left side of the body) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2019-01-01 | Added | Added |
Get instant expert-level medical coding assistance.