CPT 77059 in category: Magnetic resonance imaging …

mobile navigation icon
  • ICD-10
  • CPT Coding
  • Modifier Coding
  • Compliance
  • Medicare

mobile navigation icon
  • ICD-10
  • CPT Coding
  • Modifier Coding
  • Compliance
  • Medicare

  • home
  • CPT Coding
  • 2019 CPT Code Set: Part 2

2019 CPT Code Set: Part 2

Posted on 10 Oct, 2018 | comments_icon 0 |By Elizabeth Debeasi

Get a Jumpstart on the 2019 CPT® Code Set: Part 2

If you’re just joining our overview of CPT® code changes for 2019 , you might want to back up and start at the beginning of this series. In Part 1 , we lay out E/M code additions for remote patient monitoring (RCM) and interprofessional Internet consultation.

Today, we continue our 2019 CPT® coding review with an in-depth look at noteworthy changes you don’t want to miss.

Get Acquainted with 9 New FNA Codes

Fine needle aspiration (FNA) codes undergo a major overhaul in 2019. CPT® code 10022 (Fine needle aspiration; with imaging guidance) will be deleted in 2019. To ramp up for a new approach to FNA coding, 10021 (Fine needle aspiration; without imaging guidance) has been revised. The new code descriptor will be (emphasis added): Fine needle aspiration biopsy, without imaging guidance; without imaging guidance first lesion.

CPT® 2019 adds nine new fine need aspiration biopsy (FNAB) codes, which will include radiological supervision and interpretation. In other words, modality of imaging guidance (ultrasound, fluoroscopy, CT, MR, or none) is specified in the code and will no longer be reported separately, as you’ll see in the code descriptors below. Also notice that there will be two codes for each imaging modality — a primary code for the first lesion and an add-on code for each additional lesion:

  • +10004… each additional lesion (List separately in addition to code for primary procedure)
  • 10005Fine needle aspiration biopsy, including ultrasound guidance; first lesion
  • +10006 each additional lesion (List separately in addition to code for primary procedure)
  • 10007Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion
  • +10008… each additional lesion (List separately in addition to code for primary procedure)
  • 10009Fine needle aspiration biopsy, including CT guidance; first lesion
  • +10010… each additional lesion (List separately in addition to code for primary procedure)
  • 10011Fine needle aspiration biopsy, including MR guidance; first lesion
  • +10012… each additional lesion (List separately in addition to code for primary procedure).

When your provider uses a different imaging modality on additional lesions, you’ll report more than one code and append modifier 59 (Distinct procedural service).

If, however, your provider performs an FNAB and core needle biopsy (CNB) on the same lesion, don’t report the image guidance for the CNB. You also want to see new instructional notes that define a FNAB and a CNB to clarify the differences between these two procedures.

Code Skin Biopsies with Expanded Options for Procedure Type

CPT® code 11100 (Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion) — in addition to its add-on code +11101 for additional lesions — will be deleted for 2019. You’ll have six new codes in their place:

  • 11102Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
  • +11103… each separate/additional lesion (List separately in addition to code for primary procedure)
  • 11104Punch biopsy of skin (including simple closure, when performed); single lesion
  • +11105… each separate/additional lesion (List separately in addition to code for primary procedure)
  • 11106Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion
  • +11107… each separate/additional lesion (List separately in addition to code for primary procedure).

Similar to the new codes for FNA, the new skin biopsy codes pair a primary code, identified by type of biopsy performed, with an add-on code to report each additional lesion. Here, too, you can look to new instructional notes that define a biopsy, as well as the different types of skin biopsy procedures.

Watch for Breast MRI with CAD

Unilateral and bilateral breast MRI codes, 77058 and 77059 respectively, which did not distinguish if contrast material(s) were used, will be deleted as of January 1. The 2019 CPT® code set replaces these two codes with four new codes — two representing procedures performed without contrast material(s) and two representing procedures performed with or without contrast material(s) but with CAD utilization. The four new codes are as follows:

  • 77046Magnetic resonance imaging, breast, without contrast material; unilateral
  • 77047… bilateral
  • 77048Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral
  • 77049… bilateral.
Get Up to Speed on Permanent Code Additions for Leadless Pacemakers

CPT® 2019 deletes three Category III codes — 0387T, 0388T, 0389T —and replaces them with two permanent codes for leadless pacemakers:

  • 33274Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed
  • 33275Transcatheter removal of permanent leadless pacemaker, right ventricular.

As well, new CPT® codes have been created for the insertion and removal of a subcutaneous cardiac rhythm monitor. You’ll use 33285 to report the insertion of the subcutaneous cardiac rhythm monitor. This code includes programming. The second new code, 33286, depicts the removal of the monitor.

The 2019 CPT® code set also includes the new code 33289, which is for a transcatheter implantation of a wireless pulmonary artery pressure sensor. You’ll use new code 93264 to report the remote monitoring of the wireless pulmonary artery pressure sensor for up to 30 days.

Introducing New Category III Codes for Cardiology

Among the many CPT® code updates heading your way if you’re a cardiology coder, you’ll have several new Category III codes with which to familiarize yourself. Take a peek at the 2019 lineup:

  • Wireless cardiac stimulator for left ventricular pacing codes: 0515T-0522T
  • Intraprocedural coronary fractional flow reserve (FFR) code: 0523T
  • Endovenous catheter directed chemical ablation with balloon isolation code: 0524T
  • Intracardiac ischemia monitoring system codes: 0525T-0532T.
Gear Up for New Central Nervous System Assessments & Adaptive Behavior Analysis Codes

2019 introduces new CPT® codes to the central nervous system assessments/tests range, most of which are time-based codes.

The first two of these new codes include the primary code 96112 for developmental test administration, and the add-on code +96113 to report each additional 30 minutes beyond the hour indicated in 96112.

CPT® code 96116 for neurobehavioral status exam has been revised as follows (emphasis added): Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), per hour of the psychologist’s or physician’s timeby physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour.

Use new add-on code +96121 to report each additional hour required to perform and interpret the neurobehavioral status exam.

You’ll also find four new codes for psychological test evaluations: 96130-+96133. Here, again, these four codes consist of two pairs, with one primary code and one add-on code to allot for addition time spent on the evaluation.

Additional codes will be available to report test administration and scoring. These codes – 96136-96146 – also indicate who scored the test.

Finally, there are eight new CPT® codes options added to adaptive behavioral services. The first of these is the primary assessment code:

  • 97151Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician’s or other qualified health care professional’s time face-to-face with patient and/or guardian[s]/caregiver[s] administering assessments and discussing findings and recommendations, and non-face-to-face analyzing past data, scoring/interpreting the assessment, and preparing the report/treatment plan.

Included in this code family is a new option to report the work of a provider serving in a supporting capacity under the direction of a physician or other qualified health care professional:

  • 97152Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 minutes.

You’ll choose from the remaining six codes, 97153-97158, to report services addressing specific treatment targets based on previous assessments.

Learn More

This overview, of course, represents merely the tip of the iceberg. With more than 300 code updates coming your way, you’ll want to start preparing for January 1st.

Conquer CPT® changes, improve coding efficiency, and boost reimbursement in 2019 with TCI’s Medical Coding Books :

AMA CPT® 2019 Professional Edition: Includes the complete 2019 CPT® code set with official descriptors, modifiers, CPT® official coding rules and guidelines, citations from CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology, Appendixes, highlights and symbols for all 2019 coding, guidelines, and text changes, and more.

The 2019 Procedural Coding Advisor , the perfect companion to the AMA CPT® 2019 Professional Edition, includes coding, billing, and reimbursement alerts and symbols throughout the book, customized Alphabetic Index with thousands of entries that eliminate “See” cross-references, New/Revised/Deleted Codes Advice for 2019, G code equivalents for numerous CPT® codes, MACRA: MIPS and APMs training chapter, 60 stick-on tabs, more colored anatomical illustrations, foldout front and back covers with quick references to modifiers, and much more.

Posted in CPT Coding  and tagged as   2019 AMA CPT code set  |  CPT code changes for 2019  |  e&m codes


Elizabeth Debeasi

Marketing Writer/ Editor

Elizabeth works on an array of projects at TCI, researching and writing about modern reimbursement challenges. Since joining TCI in 2017, she has also covered the nuts and bolts of cybersecurity, compliance with federal laws, and how to tap into the advantages of Telehealth services.



Top Categories
  • CPT Coding
  • Modifier Coding
  • Compliance

Recent Posts

  • What You Need to Know About the Quality Payment Program, Year 3
  • 4 Things You Need to Know about Medical Necessity, Fraud, and the False Claims Act
  • Navigating Medicare’s Provider Enrollment, Chain, and Ownership System (PECOS)
  • Consider the Cost of HIPAA Noncompliance — Part 3
  • Consider the Cost of HIPAA Noncompliance — Part 2

More from this author

  • Consider the Cost of HIPAA Noncompliance — Part 2
    Consider the Cost of HIPAA Noncompliance — Part 2
    Tue, Nov 20, 2018
    By Elizabeth Debeasi

  • Get a Jumpstart on the 2019 CPT® Code Set: Part 1
    Get a Jumpstart on the 2019 CPT® Code Set: Part 1
    Fri, Oct 5, 2018
    By Elizabeth Debeasi

  • Gear Up for 2019 ICD-10-CM Code Changes – Part 4
    Gear Up for 2019 ICD-10-CM Code Changes – Part 4
    Thu, Oct 4, 2018
    By Elizabeth Debeasi

  • Cardiovascular Care Takes the World’s Stage
    Cardiovascular Care Takes the World’s Stage
    Wed, Sep 26, 2018
    By Elizabeth Debeasi

View More

Leave a Reply Cancel reply

You must be logged in to post a comment.

Newsletter Signup


Help: FAQs, tutorials, videos, page index and more
  • Codes

     Diagnosis (Dx) 

    ICD-10-CM Codes, guidelines, etc.

    DRG – Diagnosis Related Groups

    HCC – Risk Adjustment/Factors

    ICD-9-CM – Volumes 1 & 2

     Drugs (Rx) & Other Code Sets 

    NDC – National Drug Codes

    Other Medical Code Sets

     Procedures (Tx) 

    CPT® – Level I codes & modifiers

    HCPCS – Level II codes & modifiers

    CDT® Codes – Dental “D” codes

    ICD-10-PCS Codes, guidelines, etc.

    APC – Ambulatory Pmt Class.

    ASC – Ambulatory Surg. Center NEW!

    ABC – Alternative Medicine

    ICD-9 Vol 3 – (Inpatient Only)

     My Codes, Notes & more 

    My Codes

    Manage Code Lists

    SuperBill Builder

    My Code Lists

    My Code Notes

    My Search Keywords

     Forms & Checklists 

    CMS1500 – Claim Form & codes

    UB04/CMS1450 – Form & codes

    HIPAA Forms – 45 forms

    ABN – Forms & instructions

    Medicare Appeals Forms

    Other Medicare Forms


  • Info

      Helps & Guides 

    Find-A-Code™ Tutorials

    Find-A-Code™ Webinars

    CMS1500 Instructions

    ICD-10-CM Official Guidelines

    ICD-9-CM Official Guidelines

    E&M Guides – Medicare, AMA, etc.


    CPT® Assistant +Archives

    AHA Coding Clinic® ICD9/10 & HCPCS

    DecisionHealth® – Pink Sheets, Part B

    JustCoding Newsletter® NEW

    BC Advantage +20 CEUs

    Medicare Provider Compliance

    Find-A-Code Articles

    Find-A-Code Focus – Sign upFREE

     Medicare Manuals & Guides 

    CMS Manuals – IOM/PUB 100

    E&M Guidelines & Procedures

    OIG WorkPlans NEW!

    Medicare Claim Reviews

    LCDs & Articles – by Contractor

    NCDs – National Coverage

    PQRS Program – 2007-2016

    MIPS ProgramNEW! – 2017+

    More… (Forms, FAQs, NCCI, etc.)

     Dictionaries & Information 

    Abbreviations & Acronyms

    Dorlands® Appendices

    Stedmans® Appendices

    Healthcare Legislation

    WK Drug Database

    More Links and Resources

  • Tools

    NCCI Validator™

    Find-A-Code™ – Keyword Search

    Browse-A-Code™ – Drill down

    Click-A-Dex™ – Index search

    Build-A-Code™ – Code builder

    Map-A-Code™ – Crosswalks

    List-A-Code™ BETA – Custom Lists

    Find-A-NPI™ – Quick NPI look-up

    Medical Lab Tests

    DMEPOS Products

    WK Drug Database – w/NDCs NEW

    LCDs – Medicare Policies

    Commercial Payer Policies

    Calculator icon Calculators 

    RVUs & Medicare Fees

    Check-A-Fee™ – vs. Medicare

    Specialty Fee Reports™

    Unlimited Fee Reports™

    Patient Responsibility Amount

    Pro Fee Calculator BETA

    Global Period/Days

    E/M Calculator

    Calculator icon Risk Adjustment 

    HCC Risk Score Calculator

    ICD-10-CM to HCC – Map-A-Code™

    Scrubbing & Validation 

    Code-A-Note™ – Suggestion Engine

    Scrub-A-Claim™ – Claim scrubber

    NCCI Validator™ – for NON-Facility

    NCCI Validator™ – for FACILITY

    ICD-10-CM Validator™

    Calculator icon Facility Calculators 

    MS-DRG Grouper – ICD-9 & ICD-10

    APC Packager/Pricer NEW

    ASC Payment Calculator NEW

    Documentation (folder with paper) icon Documentation 


    SuperBill Builder™

    Education icon Education & Training 

    CEUs & Training NEW

    Coding Courses

    ZygoteBody™ – Anatomy Viewer NEW

    Anatomy/Physiology Games

    ICD-10 Videos – Funny!

  • Topics

    Facilities & Organizations – ACOs, Hospitals, etc.

    Payers – Medicare, Medicaid, BC/BS, Aetna, etc.

    Specialties – Cardiology, ENT, Family Practice, etc.

    States – State specific information

    Subjects – Audits, E&M, HIPAA, Practice Mgt, etc.

  • Community

    Articles – 100s of articles on many topics

    CEUs & Training – Sources & recommendations

    Coding Support – Sources & recommendations

    Events – Webinars, Seminars, Conferences

    FAQs – Frequently Asked Questions

    Marketplace – Recommended products & services

    News – Industry news & Find-A-Code updates

    Webinars – 30-60 Minute Presentations

    Video Tutorials – Learn more about Find-A-Code

  • See Product Video
  • Free Trial
  • Pricing
  • Sign In

> Home > Codes > CPT® Procedure Codes
Viewing:  Dec 9, 2018

Important: FindACode.com uses Javascript to provide a rich, interactive user experience. We have detected that your browser either does not support Javascript or has been configured to not allow it.
To use FindACode.com, you will need to either change your Javascript settings or use a different web browser.


 |  Prev Next  |  Print Code Information

CPT® Code Set – 77059 – in category: Magnetic resonance imaging, breast, without and/or with contrast material(s)

Code Information  

77059 – CPT® Code in category:  Magnetic resonance imaging, breast, without and/or with contrast material(s)

CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.  CPT code information is copyright by the AMA.

Access to this feature is available in the following products:

  • Find-A-Code Essentials
  • Find-A-Code Professional
  • Find-A-Code Facility Base

Click here to Sign In to your account.

Click here to View Pricing now.

Additional Code Information (Global Days, MUEs, etc.)  

Top Modifiers – Most Often Billed  

CPT Reverse Index Lookup  


Code History  

My Notes  

Articles & Newsletters  


Coding Tips  

Web-A-Code – Useful Web Links  


Medical Laboratory Tests  



RVUs – Relative Value Units  

Cross-A-Code™   (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®)  




NCCI Edits  


Medicare Policies & Guidelines (NCDs, LCDs, Articles)  


Commercial Payer Policies  


MIPS Quality Measures (formerly PQRS)  


Free 28 Day Trial

No Credit Card Required


Starting at $4.95/month

Sign In

Welcome back!
Copyright © 2000-2018 Find A Code, LLC – CPT® copyright 2017 American Medical Association

Questions?  Suggestions?  Problems?  Tell us!

Google remarketing tracking pixel image