Coding for fluoroscopy-guided percutaneous breast biopsy

Q.

We have a doctor who performed a fluoro-guided percutaneous breast biopsy. What code is appropriate for this? 

A.

Assuming it was not an aspiration biopsy, then it would have to be unlisted CPT® code 19499. If it was an aspiration biopsy, then it would be 10007. The code and complete description are as follows:

10007 Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion