CPT® Code 10007

The CPT® Code 10007 refers to a fine needle aspiration biopsy (FNA) that includes fluoroscopic guidance for the first lesion being biopsied. This procedure involves the use of a fine gauge needle, typically either a 22-gauge or 25-gauge, along with a syringe to extract fluid from a cyst or to collect clusters of cells from a solid mass. The process begins with the cleansing of the biopsy site, followed by the physician locating the lump through palpation. In cases where the lump is not palpable, imaging guidance, specifically fluoroscopic guidance, is utilized to accurately assist in the FNA biopsy procedure. For lesions that are more easily localized, fluoroscopic or ultrasound guidance may be employed to enhance precision. Once the needle is inserted into the mass, a vacuum is created, and the physician performs multiple in-and-out motions with the needle while pulling back on the syringe to ensure an adequate tissue sample is obtained. It is common for several needle insertions to be necessary to collect sufficient material for analysis. The collected samples are then prepared by smearing them onto a microscope slide, allowing them to air dry, and subsequently fixing them through spraying or immersion in a liquid. After fixation, the smears are stained and examined under a microscope by a pathologist for diagnostic purposes. Notably, the FNA procedure does not require stitches and is typically performed on an outpatient basis, allowing many patients to return to their normal activities on the same day. After the procedure, a small bandage is applied to the biopsy site. For coding purposes, it is important to report code 10005 for the first lesion biopsied by FNA with ultrasound guidance, code 10006 for each additional lesion biopsied with ultrasound guidance, code 10007 for the first lesion biopsied with fluoroscopic guidance, and code 10008 for each additional lesion biopsied with fluoroscopic guidance.