2025 CPT code 10007

Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion.

Refer to CPT guidelines for detailed instructions on coding multiple lesions, use of different imaging modalities, and scenarios involving both FNA and core needle biopsies during the same session.

Modifiers may be applicable. Modifier 59 should be used to indicate a distinct procedural service when performing biopsies on separate lesions with different imaging guidance.

Medical necessity for FNA biopsy is established by the presence of a suspicious mass, lump, or area of concern that requires further investigation for diagnostic purposes.

The physician prepares and anesthetizes the patient (usually with local anesthesia). The physician inserts the needle into the target area under fluoroscopic imaging, withdraws the sample and sends it to the lab.

IMPORTANT For additional lesions biopsied during the same session with fluoroscopic guidance, use +10008.For FNA of an initial lesion using other imaging guidance: Ultrasound (10005), CT (10009), MRI (10011). For each additional lesion with these modalities, add +10006 (ultrasound), +10010 (CT) +10012 (MRI), respectively. If different imaging guidance modalities are used for separate lesions, append modifier 59 to the primary code.For FNA without imaging guidance, use 10021 for the initial lesion and +10004 for each additional lesion.

In simple words: Using a special x-ray video, the doctor inserts a small needle into a lump or suspicious area to collect a sample of cells. This sample is then sent to a lab for testing.

Under fluoroscopic guidance, a fine needle aspiration (FNA) is performed. This diagnostic procedure involves inserting a thin needle (e.g., 18-25 gauge) into a lesion or area of tissue to collect a sample of cells, tissue, or fluid.Multiple passes may be made to ensure an adequate specimen is obtained. The aspirate is then sent to a pathology lab for analysis.

Example 1: A patient presents with a palpable breast lump.Fluoroscopic guidance is used to precisely target the lump for a fine needle aspiration biopsy., A patient has a suspicious lung nodule identified on a chest x-ray. Fluoroscopic guidance is used for a fine needle aspiration biopsy to determine the nature of the nodule., A patient has an enlarged lymph node. An FNA biopsy is performed under fluoroscopic guidance to collect cells for evaluation.

Documentation should include details of the procedure, including the location of the lesion(s), type of imaging guidance used, number of samples taken, and any complications encountered.A copy of the pathology report should be included in the patient’s medical record.

  • Revenue Code: P6C
  • Specialties:Radiology, Interventional Radiology,and any specialty performing biopsies with image guidance (e.g. Surgery, Pulmonary Medicine). Specific specialties will vary depending on the location of the biopsied area.
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, and other places of service where image-guided biopsies are performed. The place of service will vary based on the specific circumstances.
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