| Type of Biopsy | CPT (or ICD-9-CM Procedure) Code |
|---|---|
| Fine needle biopsy | |
| Fine needle aspiration; without imaging guidance | 10021 |
| Fine needle aspiration; with imaging guidance | 10022 |
| Closed (percutaneous needle biopsy of lung (FNA of lung or transthoracic needle biopsy of lung) | 33.26 (ICD-9-CM) |
| Percutaneous biopsy | |
| Biopsy, lung or mediastinum, percutaneous needle | 32405 |
| Biopsy, pleura; percutaneous needle | 32400 |
| Surgical biopsy | |
| Thoracotomy, limited, for biopsy of lung or pleura | 32905 |
| Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (e.g., wedge, incisional), unilateral | 32096 |
| Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (e.g., wedge, incisional), unilateral | 32097 |
| Thoracotomy, with biopsy(ies) of pleura | 32098 |
| Open biopsy of lung | 33.28 (ICD-9-CM) |
| Bronchial biopsy | |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites | 31625 |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings | 31623 |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage | 31624 |
| Bronchoscopy with transbronchial lung biopsy, single lobe | 31628 |
| Bronchoscopy with transbronchial needle aspiration biopsy(s) trachea, main stem and/or lobar bronchus | 31629 |
| Bronchoscopy with transbronchial lung biopsy(s), each additional lobe (list separately in addition to code for primary procedure) use with 31628 | 31632 |
| Bronchoscopy with transbronchial needle aspiration biopsy(s) each additional lobe (list separately in addition to code for primary procedure) use with 31629 | 31633 |
| Closed endoscopic biopsy of lung (fiber-optic (flexible) bronchoscopy with fluoroscopic guidance with biopsy or transbronchial lung biopsy) | 33.27 (ICD-9-CM) |
| Other | |
| Thoracoscopic lung biopsy | 33.20 |
| Closed [endoscopic] biopsy of bronchus | 33.24 |
| Open biopsy of bronchus | 33.25 |
| Non-biopsy-specific procedures | |
| Ultrasound guidance for needle placement | 76942 |
| Fluoroscopic guidance for needle placement | 77002 |
| CT guidance for needle placement | 77012 |
| MR guidance for needle placement | 77021 |
CPT = Current Procedural Terminology; CT = computed tomography; FNA = fine needle aspiration; ICD-9-CM = International Classification of Diseases, Ninth Revision Clinical Modification; MR = magnetic resonance.