How To Use cpt 10008

cpt 10008 describes the fine needle aspiration biopsy procedure, including fluoroscopic guidance, for each additional lesion. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 10008.

1. What is cpt 10008?

cpt 10008 is a code used to describe the fine needle aspiration biopsy procedure, which involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and syringe. This code specifically applies to each additional lesion biopsied under fluoroscopic guidance, in addition to the primary code 10007.

2. Official Description

The official description of cpt 10008 is: ‘Fine needle aspiration biopsy, including fluoroscopic guidance each additional lesion (List separately in addition to code for primary procedure).’ It is important to note that cpt 10008 should not be reported in conjunction with code 77002, and for the evaluation of the fine needle aspirate, other codes such as 88172, 88173, and 88177 should be used.

3. Procedure

1. The provider begins by properly preparing and anesthetizing the patient, typically with local anesthesia.
2. Using fluoroscopic imaging guidance, the provider inserts a specialized needle, such as an 18- to 25-gauge needle with an attached syringe, into an additional suspicious lesion or area of tissue.
3. The provider then withdraws cells, tissue, or fluid from the lesion for laboratory analysis.
4. Multiple passes may be made to ensure an adequate specimen is obtained.
5. The collected aspirate is sent to the pathology lab for further analysis.

4. Qualifying circumstances

cpt 10008 is used when performing a fine needle aspiration biopsy on each additional lesion under fluoroscopic guidance. This procedure is typically performed when there are multiple suspicious lesions or areas of tissue that require biopsy. It is important to note that cpt 10008 should be used in conjunction with the primary code 10007.

5. When to use cpt code 10008

cpt 10008 should be used when the provider performs a fine needle aspiration biopsy on each additional lesion under fluoroscopic guidance. This code is used in addition to the primary code 10007. It is important to follow the specific coding guidelines and not report cpt 10008 in conjunction with code 77002 or other codes related to the evaluation of the aspirate.

6. Documentation requirements

To support a claim for cpt 10008, the provider must document the following information:

• Identification of each additional lesion biopsied
• Use of fluoroscopic guidance during the procedure
• Date and time of the procedure
• Details of the biopsy procedure, including the number of passes made
• Pathology lab analysis of the collected aspirate
• Signature of the performing provider

7. Billing guidelines

When billing for cpt 10008, ensure that the procedure is performed under fluoroscopic guidance and that it is an additional lesion biopsy in addition to the primary code 10007. Do not report cpt 10008 in conjunction with code 77002 or other codes related to the evaluation of the aspirate. It is important to follow the specific coding guidelines and modifiers, if applicable, for accurate billing.

8. Historical information

cpt 10008 was added to the Current Procedural Terminology system on January 1, 2019. There have been no updates or changes to the code since its addition.

9. Similar codes to cpt 10008

Five similar codes to cpt 10008 include:

• cpt 10006: Fine needle aspiration biopsy, including ultrasound guidance, first lesion
• cpt 10009: Fine needle aspiration biopsy, including CT guidance, first lesion
• cpt 10010: Fine needle aspiration biopsy, including MRI guidance, first lesion
• cpt 10011: Fine needle aspiration biopsy, including ultrasound guidance, each additional lesion
• cpt 10012: Fine needle aspiration biopsy, including CT guidance, each additional lesion

9. Examples

1. A radiologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s lung.
2. An interventional radiologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s liver.
3. An oncologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s lymph node.
4. A gastroenterologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s pancreas.
5. A urologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s kidney.
6. A pathologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s breast.
7. An orthopedic surgeon performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s bone.
8. A dermatologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s skin.
9. A gynecologist performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s ovary.
10. A head and neck surgeon performing a fine needle aspiration biopsy, under fluoroscopic guidance, on an additional suspicious lesion in a patient’s thyroid gland.