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2025 CPT code 19082

Percutaneous biopsy of each additional breast lesion after the first, separately reported lesion, with stereotactic guidance.This is an add-on code to 19081.

Consult the CPT manual for complete coding guidelines.

Modifiers may apply depending on the circumstances of the procedure. Consult the CPT manual and other payer-specific guidelines.

Medical necessity for 19082 is established by the presence of an additional suspicious lesion requiring biopsy.The decision to biopsy additional lesions must be clinically justified based on imaging findings, patient history, and physical examination.

The physician makes a small incision, removes tissue from an additional breast lesion, places localization devices (if needed), images the specimen (if needed), applies pressure, and bandages the incision site. The procedure is performed under stereotactic guidance.

IMPORTANT:This is an add-on code to 19081. It should be reported in conjunction with 19081.

In simple words: This code describes an additional breast biopsy done during the same visit as a first biopsy. The doctor uses special imaging (stereotactic guidance) to remove tissue from another suspicious area in the breast.This code is used only after the first biopsy has already been billed.

Under stereotactic guidance, a percutaneous biopsy is performed on each additional breast lesion following the initial, separately reportable lesion.This may include placement of a localization device and imaging of the specimen. The procedure involves making a small incision, removing tissue, applying pressure, and bandaging the incision site.This code is reported once for each additional lesion biopsied, regardless of breast (ipsilateral or contralateral).

Example 1: A patient undergoes a stereotactic biopsy of a suspicious lesion (coded with 19081). During the same session, another suspicious lesion is identified, and a percutaneous biopsy is performed on this additional lesion. Code 19082 is reported in addition to 19081., A patient presents with two suspicious breast lesions. Both are biopsied during the same procedure using stereotactic guidance.19081 is used for the first lesion, and 19082 is used for the second., A patient has a stereotactic biopsy of a suspicious lesion in the right breast (19081).A second lesion in the left breast is also biopsied during the same session.Code 19082 would be reported for this additional lesion.

* Detailed operative report describing the procedure for each lesion.* Imaging reports confirming the location of the lesions and the results of the stereotactic guidance.* Pathology report detailing the results of the biopsies.* Documentation of the placement of any localization devices.

** This code is used for additional lesions biopsied in the same session as the initial lesion, even if the lesions are in different breasts.Localization device placement and imaging of the specimen are included in the code if performed, but are not required for reporting.

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