In simple words: This code describes taking extra samples from lumps or suspicious areas using a thin needle and an X-ray machine to guide the needle. This is only used if the doctor already took a sample from one area and needs to take samples from more than one additional suspicious area on the same day using the same X-ray machine.

This CPT code, 10008, represents the performance of a fine needle aspiration (FNA) biopsy on each additional lesion beyond the initial lesion, utilizing fluoroscopic imaging guidance.The procedure involves inserting a fine needle into the lesion under fluoroscopic guidance to aspirate cells or tissue for cytological or histopathological evaluation.This code is an add-on code and should be reported separately, in addition to the code for the primary procedure (e.g., 10007 for the initial lesion under fluoroscopic guidance).It is crucial to note that this code is only for additional lesions biopsied during the same session, using the same imaging modality as the initial lesion. Different imaging modalities or separate sessions require different coding approaches.

Example 1: A patient presents with multiple suspicious thyroid nodules.The physician performs an FNA biopsy on the largest nodule (10007).Following the first procedure, the physician performs FNAs on two additional nodules under fluoroscopic guidance.10008 would be reported twice, once for each additional lesion, in addition to 10007., A patient presents with a breast mass and two separate axillary lymph nodes suspicious for metastasis.The physician performs an FNA biopsy of the breast mass (10007). Then the physician performs FNA biopsies on each of the two axillary lymph nodes using the same fluoroscopic guidance.Code 10008 would be reported twice in this scenario., A patient with a history of lung cancer presents with two new pulmonary nodules. The physician performs an FNA of the first nodule under CT guidance (10009) and a second FNA of the other nodule using the same CT guidance. In this case, 10010 would be used to code the second lesion, not 10008 since the guidance is CT instead of fluoroscopic.

Detailed operative report documenting the number of lesions sampled, the imaging guidance used (fluoroscopy), and confirmation that the additional lesions were biopsied during the same session.Pathology report confirming the receipt and analysis of the aspirate samples.

** For evaluation of the fine needle aspirate, report codes 88172, 88173, or 88177, as appropriate.The evaluation of the aspirate is performed by the pathologist and is billed separately from the aspiration procedure itself.