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Transmittal 10021, dated March 27, 2020, is being rescinded and replaced by Transmittal 10043, dated, April 9, 2020 to revise business requirement 11516.1, remove Part B and DME from the title and policy sections, and to remove the program indicator from the attachment. All other information remains the same.
1.20 for 10021. For CPT code 10X12, the Agency proposes to base the value on its proposed value of 10021. Again, the CAP urges the Agency to recognize the deficiencies of time ratios to value physician services and accept the integrity of the RUC and its physician survey processes. The RUC noted
• fine-needle aspirations (10021 and 10022); • localization device placement (19281, 19283, 19285, and 19287); • specimen X-ray (76098); and • image guidance (eg, 76942, 77002, 77012). When assigning the procedure codes, remember that when more than one biopsy is performed using the same imaging modality, the add-on code should be used. What is CPT code 10021? January 18, 2019, admin, Leave a comment. AARP health insurance plans (PDF download) Medicare replacement (PDF download) AARP MedicareRx Plans United Healthcare (PDF download)
You’ll find codes for procedures on the integumentary system in the 10021 – 19499 numerical range of the CPT manual. It’s the first subsection of Surgery. You’ll find codes for incisions, wound debridement, skin tag removal, and the excision of benign and malignant lesions at the front of the integumentary subsection.
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Dec 12, 2011 · CPT ALTCODE Modifier (Procedure-Contract) Effective From Date Effective To Date 10021 10021 1/1/2000 12/31/2008 10021 10021 1/1/2009 12/31/9999 10022 10022 1/1/2000 12/31/2008 ... Rejected Claims–Explanation of Codes. VA classifies all processed claims as accepted, denied, or rejected. VA accepts correctly billed claims for care that has been pre-authorized by VA and providers will receive prompt payment for that care.
CPT 10005 Fine needle aspiration biopsy, including ultrasound guidance; ﬁrst lesion If multiple ﬁne needle aspirations without imaging guidance are performed: Use CPT 10021 for the ﬁrst and also use CPT 10004 for each additional. Do not use 59, 51, or X modiﬁer on CPT 10004 because it is an “add-on” code
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Anesthesia and moderate sedation services billed with pain management services for a patient age 18 or older may deny unless a surgical procedure CPT code range 10021-69990 (other than pain management procedures) is also billed on the claim.
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Therefore, CPT code 10021 is not separately reportable with CPT code 60100. Uniform Medical Plan Pre-Authorization List Guidelines. www.hca.wa.gov. Anesthesia and moderate sedation services billed with pain management services for a patient age 18 or older may deny unless a surgical procedure CPT code range 10021-69990 (other than pain management procedures) is also billed on the claim.
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January 4th, 2019 If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004 - 10012), one deleted FNA code (10022) and one revised FNA code (10021). Correct Coding Initiative (CCI) Edits Fall 2006 * As of 11/28/06 Services provided by Empire HealthChoice HM O, Inc., and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of The Current Procedural Terminology (CPT) code set is a medical code set maintained by the American Medical Association through the CPT Editorial Panel. The CPT code set (copyright protected by the AMA) describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation ... A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244 CPT 10021 - Fine needle aspiration biopsy, without imaging guidance; without imaging guidancefirst lesion CPT 10022 – Fine needle aspiration with imaging guidance DELETED CPT 10004 Fine needle aspiration each additional lesion (List separately in addition to code for primary procedure)
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CPT Code Mod Description Status NF Payment Final 2016* NF Payment Final 2017** NF Payment % Change 10021 Fna w/o image A $124.96 $124.53 0% 10022 Fna w/image A $143.22 $143.55 0% 36430 Blood transfusion service A $35.09 $35.53 1% 36440 Bl push transfuse 2 yr/< A $59.08 $56.35 -5% 36450 Bl exchange/transfuse nb A $120.66 $193.80 61% Aug 22, 2020 · This gene encodes a member of the hyperpolarization-activated cyclic nucleotide-gated potassium channels. The encoded protein shows slow kinetics of activation and inactivation, and is necessary for the cardiac pacemaking process. This channel may also mediate responses to sour stimuli.
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Jul 01, 2019 · CPT code 87635 is covered effective 04/01/2020. It is billable for dates of service on or after 02/04/2020 and has a maximum fee of $51.31. 03/18/2020: New HCPCS Codes Effective April 1, 2020 and Deleted HCPCS Codes as of March 31, 2020. This includes two new codes for coronavirus testing. New and Deleted HCPCS April 2020 Performs procedures that are within the OAS CAHPS-eligible range of CPT 1-4 Codes for Surgery (i.e., CPT codes between 10004 and 69990) or one of the following G-Codes: G0104, G0105, G0121 or G0260; Is Medicare-certified and has a CMS Certification Number (CCN);
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10021 fine needle aspir wo imag guid $29.01 ... cpt/hcpcs/cdt procedure code description maximum fee allowance ambulatory services: update september 1, 2020.
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May 19, 2017 · CPT code and Descrpiton 36005 Injection procedure for extremity venography 0.95 $328 $50 36010 Introduction of catheter, superior or inferior vena cava 2.18 $492 $114 36011 Selective catheter placement, venous system; first order branch 3.14 $842 $164 36012 Second order, or more selective, branch 3.51 $868 $181 May 03, 2013 · CPT code 10021 is bundled into CPT code 32405 with modifier indicator 1; therefore, 59 modifiers should be appended to column 2 code 10021 to override bundling. Jun 13, 2011 · Those who interact with Current Procedural Terminology (CPT), the International Classification of Diseases (ICD), or insurance companies also have the experience of dealing with the countless coding rules and guidelines. There is an anatomy for ICD-9-CM, Healthcare Common Procedure Coding System (HCPCS), and CPT that all coders should know. Transmittal 10021, dated March 27, 2020, is being rescinded and replaced by Transmittal 10043, dated, April 9, 2020 to revise business requirement 11516.1, remove Part B and DME from the title and policy sections, and to remove the program indicator from the attachment. All other information remains the same. Sep 29, 2020 · The Current Procedural Terminology (CPT ®) code set is a medical code set maintained by the American Medical Association through the CPT ® Editorial Panel. Select State (partial keyword searches are acceptable)
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CPT 10005 Fine needle aspiration biopsy, including ultrasound guidance; ﬁrst lesion If multiple ﬁne needle aspirations without imaging guidance are performed: Use CPT 10021 for the ﬁrst and also use CPT 10004 for each additional. Do not use 59, 51, or X modiﬁer on CPT 10004 because it is an “add-on” code The following CPT codes 11055, 11056, 11057, and 11719, are covered only when submitted with 1 of the following diagnosis codes. All other uses are considered not medically necessary. CMS ICD10 E09.319 E13.49 A30.8 E52 E11.21 G12.21 E11.36 G60.0 E08.321 I82.5Z9 E10.351 E11.341 E08.65 E09.36 E13.331 E13.42 I82.891 E11.339 I70.241 G62.2 E08.29 Modifier 26 Fact Sheet What you need to know. Modifier 26 is used when only the professional component is being billed when certain services combine both the professional and technical portions in one procedure code.
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ZIP code 10021 is located in southeast New York and covers a slightly less than average land area compared to other ZIP codes in the United States. It also has an extremely large population density. The people living in ZIP code 10021 are primarily white. CPT code set is maintained by The CPT Editorial Panel which is authorized by the AMA Board of Trustees to modify, revise, and update CPT codes, descriptors, rules, and guidelines. This panel is composed of 17 members out of whom 11 are physicians nominated by the national medical specialty societies and approved by the AMA Board of Trustees. Precertification information. Precertification applies to all benefits plans that include a precertification requirement. Participating providers are required to pursue precertification for procedures and services on the lists below. Sep 11, 2008 · Beginning in 2017, HCUP used the Vermont supplied state indicators for Ambulatory Surgery services: TYPE_AS=1 (revenue code in range of 036x, 037x, or 049x) and SFLAG=1 (surgery flag based on CPT code range 10021-69990). From 2011-2016, only TYPE_AS was used to define STATE_AS.
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Codify by AAPC‘s complete suite of tools enables coders to maximize their efficiency, compliance and production speed. Powerful search tools allow quick look up of CPT ®, HCPCS Level II, and ICD-10-CM medical codes, fee schedules, CMS publications and more. As with all CPT codes, they describe medical, surgical, and diagnostic procedures provided by physicians and other health care professionals. ... 10021-69990 ...
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CPT codes 10021 (fine needle aspiration without imaging guidance) and 10005 (fine needle aspiration with ultrasound guidance) are potentially misvalued. In particular, we believe that the recent valuation of these codes (83 FR 59517 -59521), in which the RUC recommendations for physician work were Feb 27, 2018 · Introduction to CPT Surgery Coding Apr 08, 2019 · differences between 10021 and 10160 2019. PDF download: Medical Fee Schedule Effective January 1, 2019 – Maine.gov ... 2019 HCPCS/CPT Codes Updates – DC Medicaid ...
10021 $91.53 10021 * $53.15 Puncture Aspiration of cyst of Breast 19000 $102.70 19000 * $41.70 Puncture Aspiration of cyst of Breast; each additional cyst (use in conjunction with 19000) 19001 $25.25 19001 * $20.63 Biopsy, breast, with placement of breast localization device and imaging of the biopsy Jan 01, 2016 · CPT/HCPCS Code APL Begin Date Age Limit (Y/N) Age Range 10021 7/1/2004 N 10022 1/1/2006 N 10030 1/1/2014 N 10040 1/1/2006 N 10060 1/1/2006 N 10061 7/1/2004 N 10080 7 ...
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Rejected Claims–Explanation of Codes. VA classifies all processed claims as accepted, denied, or rejected. VA accepts correctly billed claims for care that has been pre-authorized by VA and providers will receive prompt payment for that care. As with all CPT codes, they describe medical, surgical, and diagnostic procedures provided by physicians and other health care professionals. ... 10021-69990 ... CPT Code(s) CPT Code(s) 38505: 10021: 40490: 11100-11101: 67810: 11101 . Codes from the 10000 series billed with codes from the Medicine section . CPT Code(s) CPT ... •Initial Service Requirement –To bill incident-to, ‘there must have been a direct, personal, professional service furnished by a the physician to initiate the
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Lisa Moskovitz, RD, CDN, CPT is a Registered Dietitian and Certified Personal Trainer in the state of New York. Lisa has successfully treated clients with a wide variety of medical conditions including Diabetes, Cardiovascular Disease, Gastrointestinal Disorders and Eating Disorders. management services but billed without a surgical code (10021-69990) by any provider for a member age 18 or older on the date of service. Tufts Health Plan does not routinely compensate for daily hospital management of epidural or subarachnoid continuous drug administration (01996) when billed more than three days following a
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CPT ® Code Short Descriptor ... (CC) $10,021 664 Minor bladder procedures without CC/MCC $7,244 748 Female reproductive system reconstructive procedures $7,905 ... 2019 CPT Update . Effective 1/1/2019 . Each year the American Medical Association’s CPT-4 code manual is revised to delete codes and/or guidelines, and to add or revise codes to reflect current technologies, techniques, and services. As a service to our radiology clients, APS Medical Billing has summarized those changes to facilitate Jul 30, 2020 · Use code 10021 for FNA without imaging guidance, first lesion New CPT ® codes include imaging guidance Add-on codes for additional lesions, also defined by type of imaging guidance used for the procedure Login to unlock the rest of this article CPT 2020 - 2.pdf - Radiology Radiologic Guidance CPT 2020(00 not report 76942 in conjunction with 10004 10005 10006,10021,10030,19083,19285,20604,20606
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Jul 30, 2020 · In 2019, CPT ® deleted codes punch biopsy code 11100 and add-on code +11101 and replaced these codes with six new biopsy codes. Using these codes indicates that the procedure was: “to obtain tissue solely for diagnostic histopathologic examination when performed independently, or was unrelated or distinct from other procedures/services ...
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Since its introduction 20 years ago, infrared coagulation has become the world’s leading office treatment for hemorrhoids. This non-surgical treatment is fast, well tolerated, and remarkably complication-free. Dec 08, 2017 · CPT code 77063 is an add-on code describing screening digital tomosynthesis for mammography. This procedure requires performance of a screening mammography producing direct digital images. For calendar year 2017 Medicare allowed CPT code 77063 to be reported with HCPCS code G0202, not CPT code 77067.
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Apr 08, 2019 · differences between 10021 and 10160 2019. PDF download: Medical Fee Schedule Effective January 1, 2019 – Maine.gov ... 2019 HCPCS/CPT Codes Updates – DC Medicaid ... Transmittal 10021, dated March 27, 2020, is being rescinded and replaced by Transmittal 10043, dated, April 9, 2020 to revise business requirement 11516.1, remove Part B and DME from the title and policy sections, and to remove the program indicator from the attachment. All other information remains the same. An introduction of the Current Procedural Terminology (CPT), including its uses and format. ... The codes for surgery, for example, are 10021 through 69990.
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Jun 13, 2011 · Those who interact with Current Procedural Terminology (CPT), the International Classification of Diseases (ICD), or insurance companies also have the experience of dealing with the countless coding rules and guidelines. There is an anatomy for ICD-9-CM, Healthcare Common Procedure Coding System (HCPCS), and CPT that all coders should know. CPT Code CPT Long Descriptor Initially presented Specialty work RVU passed by RUC Specialty work RVU facilitated by RUC Specialty work RVU modified by RUC Final RUC Vote: Work Final RUC Vote: PE Direct Costs 10021* Fine needle aspiration; without imaging guidance N/ANo N/A N/A N/A N/A 27-0 11760 Repair of nail bed No N/A N/A N/A N/A N/A 27-0
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10021. fine needle aspiration w/o imaging guidance; blank. ... table f. — outpatient facility nationwide charges by cpt/hcpcs code v3.23 (january - december 2018 ... Modifier 26 Fact Sheet What you need to know. Modifier 26 is used when only the professional component is being billed when certain services combine both the professional and technical portions in one procedure code. May 28, 2020 · Per the AMA’s CPT 2018: Professional Edition book, 15730 has been added to describe Midface skin flap reconstruction (i.e., zygomaticofacial flap) with preservation of vascular pedicle(s). Deleted 15732 for Muscle, myocutaneous or fasciocutaneous flap head and neck. This is a deleted code as per the AMA’s CPT 2018: Professional Edition book.
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Transmittal 10021, dated March 27, 2020, is being rescinded and replaced by Transmittal 10043, dated, April 9, 2020 to revise business requirement 11516.1, remove Part B and DME from the title and policy sections, and to remove the program indicator from the attachment. All other information remains the same. CPT Surgical Coding, Part 1 32-7 In this example, the wound is not repaired so you will code the debridement of the knee. To locate the correct code, turn in the Index of your CPT to Debridement, Skin, Subcutaneous Tissue for the tentative code range of 11042-11047. Turn to the main body of the CPT to review the guidelines and read the code ... Current Procedural Terminology (CPT) CPT codes are used to report services to Medicare and other insurers and may also be referred to as Level I HCPCS. When billing CPT codes, ensure that the code used is valid for the date of service billed. CPT® code 22851 should only be reported one time, regardless if one or more metal cages are placed in the intervertebral space at the same level. However, if metal cages are placed at two different levels, (eg, metal cage placed at L3-4 interspace and L5-S1 interspace), then 22851 may be reported more than once to indicate that one or more ... CPT Coding Guideline, Critical Care Revise the coding tip for “Services Included in Critical Care Services” by removing reference code 91105 and replacing it with code 43753 as code 91105 was deleted in 2011.
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CPT Code Modifier Rate End Note RESLT 99080 $ 2833.45 DXVST 99214 $ 175.76 INTKE 99215 $ 115.02 1,28, 40 INTKE 99204 $ 1,28115.02 ABNRM 99213 $ 51.29 00400 $ 1221.46 10021 $ 85.81 10022 $ 99.23 19000 $ 79.23 19001 $ 3019.05 CPT Code Description Place of Service Facility Type Rate End Note
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CPT/HCPCS codes are required to be billed with specific Bill Type and Revenue Codes. Providers are encouraged to refer to the CMS Internet-Only Manual (IOM) Pub. 100-04, Claims Processing Manual, for further guidance. 0921 Other Diagnostic Services - Peripheral Vascular Lab CPT/HCPCS Codes 93965 Extremity study 93970 Extremity study CPT code 66982 is defined as follows: “66982 Extracapsular cataract extraction removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (e.g., iris ... Correct Coding Initiative (CCI) Edits Fall 2006 * As of 11/28/06 Services provided by Empire HealthChoice HM O, Inc., and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of
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Sep 11, 2008 · Beginning in 2017, HCUP used the Vermont supplied state indicators for Ambulatory Surgery services: TYPE_AS=1 (revenue code in range of 036x, 037x, or 049x) and SFLAG=1 (surgery flag based on CPT code range 10021-69990). From 2011-2016, only TYPE_AS was used to define STATE_AS. X-ray (CPT 10021-96004, Q0092, R0070, R0075). 10. 64. Tagged 99480, code, cpt, description. AARP health insurance plans (PDF download) Medicare replacement (PDF download)
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Jul 08, 2019 · SECTION 3: CPT/HCPCS PROCEDURE CODING 25. Introduction to CPT Coding 26. Introduction to HCPCS Coding (A0000-V5999) 27. CPT Modifiers 28. Evaluation and Management Services (99201-99499) 29. Medicine Procedures (90281-99199, 99500-99607) 30. Overview of Surgery Coding (10021-10022) 31. Anesthesia Procedures (00100-01999) 32. CPT-4 Category: Code Range: Surgery: 10021 - 69990: Medicine: Cardiovascular: 92973 - 92998: Cardiac Catheterization: 93501 - 93581: Intra-cardiac Electrophysiological Procedures/Studies 93600 - 93662 Feb 13, 2020 · Common Reasons for Message. Item 17 on CMS-1500 Claim Form or electronic equivalent was left blank; Either DN, DK, or DQ qualifier was not included or was incorrect The range of codes 10021-69990 would be found in this section of the CPT manual? Asked by Wiki User. Be the first to answer! 1 2. Answer.
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NOTE: CPT codes 31628 and 31632 should be reported only once, regardless of how many transbronchial lung biopsies are performed in a lobe. NOTE: CPT code 31629 should be reported only once for upper airway biopsies, lessregard of how many transbronchial needle aspiration biopsies are performed in the upper airway or in a lobe. CPT 2009 by Michael Beebe, 2008, American Medical Association edition, in English - Standard ed. X-ray (CPT 10021-96004, Q0092, R0070, R0075). 10. 64. Tagged 99480, code, cpt, description. AARP health insurance plans (PDF download) Medicare replacement (PDF download) As with all CPT codes, they describe medical, surgical, and diagnostic procedures provided by physicians and other health care professionals. ... 10021-69990 ...
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either the code range of 00100–01999 or the range of 10021–69990. CMS 1500 08/18/20 Notification: Effective 11/16/2020 CPT codes 94760-94762 are considered incidental to the Procedures Requiring Prior Authorization from VIVA HEALTH and VIVA MEDICARE All VIVA HEALTH or VIVA MEDICARE members require the Primary Care Physician and/or Specialist to contact VIVA HEALTH’s Established for State Medical Agencies T1002 is a valid 2020 HCPCS code for Rn services, up to 15 minutes or just “Rn services up to 15 minutes” for short, used in Other medical items or services.
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BUNDLES / CPT LEVEL I – CORE PRIVILEGES CPT EVALUATION & CLINICAL CARE Admit, Consult, H&P, Orders Incision and Drainage, Debridement, Excision of skin and subcutaneous lesions, 10021 – 11646 Removal of Nails, Pilonidal Cysts 11719 – 11771 BREAST including cosmetic Incision & Drainage Breast Abscess 19020
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QUESTION: We have a question regarding CPT codes 36591 and 36592 for collection of blood from an implantable device. When we report these codes, our coding software provides a message that states "CPT codes 36591 and 35592 (collection of blood specimen from VAD or venous catheter) should not be reported in conjunction with any other service." Surgery and anesthesia procedures conducted outside the practice’s facilities (CPT codes 00100-01999, 10021-69990, 99100-99150, (exclude 36415-36416)) Include: Surgery and anesthesia procedures performed in an inpatient hospital or a freestanding ambulatory surgery center. Welcome Lenox Hill operates convenient outpatient imaging centers located in the metropolitan New York area. Our goal is to provide state of the art imaging services coupled with accurate diagnosis and efficient services, including MRI, CT, digital & 3D mammography, ultrasound, PET-MRI, PET-CT, nuclear medicine, fluoroscopy, X-Ray, DEXA for bone density measurement, and more. At least one procedure should fall into one of the following CPT code ranges: 10021-69999, 92920-92998, or 93451-93533 Typically, AS records with one or more of the following charges should be reported: Chapter 4 Part 1 CPT Surgery Codes Subsets (10021-69990) This set helps build reflex association between ranges of surgery codes and their relevant body systems. STUDY
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CPT ® 10021, Under Fine Needle Aspiration Biopsy Procedures The Current Procedural Terminology (CPT ®) code 10021 as maintained by American Medical Association, is a medical procedural code under the range - Fine Needle Aspiration Biopsy Procedures. Subscribe to Codify and get the code details in a flash. 10021 - CPT® Code in category: Fine Needle Aspiration (FNA) Biopsy CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.