I have a patient who had a breast biopsy done and is back again for re-excision during the postoperative period as the doctor did not believe he got it all. My first question is should I append a -58 to this second attempt? Secondly, is it appropriate to code CPT 76998 (ultrasound guidance; intraoperative) with the breast biopsy (19120), and if so should a modifier be used? I realize that CPT code 76998 is a component of column 1 code 19120, but I have looked on Selectcoder and it’s showing me that they can both be used with the appropriate modifier. Any thoughts would be greatly appreciated.
Thank you!
Michelle King CPC