© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 10036 refers to the procedure involving the placement of soft tissue localization device(s) such as clips, metallic pellets, wires/needles, or radioactive seeds. This procedure is performed percutaneously, meaning it is done through the skin, and includes the use of imaging guidance to ensure accurate placement of the localization device. The primary purpose of this procedure is to mark the exact site of a lesion, which is crucial for subsequent interventions like biopsies or en bloc removals. By utilizing imaging techniques, the physician can visualize the target tissue and confirm the precise location of the lesion. The localization devices serve as markers that help guide the surgeon during the procedure, ensuring that the correct area is addressed. It is important to note that this code is specifically for each additional lesion, and it should be billed separately in conjunction with the primary procedure code, which is CPT® Code 10035 for the first lesion. This structured approach enhances the accuracy of surgical interventions and improves patient outcomes by facilitating targeted treatment of lesions.
© Copyright 2025 Coding Ahead. All rights reserved.
The placement of soft tissue localization device(s) is indicated for various clinical scenarios where precise identification of a lesion is necessary prior to surgical intervention. The following conditions may warrant this procedure:
The procedure for placing soft tissue localization device(s) involves several key steps that ensure accurate placement and effective guidance for subsequent surgical procedures. The following steps outline the process:
Post-procedure care involves monitoring the patient for any immediate complications related to the placement of the localization device. Patients may be advised to keep the area clean and dry, and to report any signs of infection or unusual discomfort. Follow-up imaging may be required to confirm the position of the localization device prior to the planned surgical intervention. The physician will provide specific instructions regarding activity restrictions and any necessary follow-up appointments to ensure proper healing and preparation for the subsequent procedure.
| Short Descr | PLMT SFT TISS LOCLZJ DEV EA | Medium Descr | PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION | Long Descr | Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging 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. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P7A - Oncology - radiation therapy | MUE | 2 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 10035 | MPFS Status: Active Code APC T ASC N1 Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion |
| LT | Left side (used to identify procedures performed on the left side of the body) | 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. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CG | Policy criteria applied | GC | This service has been performed in part by a resident under the direction of a teaching physician | RT | Right side (used to identify procedures performed on the right side of the body) | 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 | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| 2016-01-01 | Added | Added |
Get instant expert-level medical coding assistance.