Summary & Overview
CPT 10007: Fine Needle Aspiration Under Fluoroscopic Guidance
CPT code 10007 denotes a fluoroscopically guided fine needle aspiration (FNA), a diagnostic procedure that obtains a tissue, cyst, or mass specimen using a specialized needle and syringe. This code is used for the first lesion biopsied and is relevant to radiology, interventional radiology, oncology, and pathology workflows. Nationally, accurate coding of image-guided FNA affects diagnostic pathways, provider billing, and claims adjudication for outpatient and ambulatory settings.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for FNA under fluoroscopic guidance, common billing considerations, and comparative payer coverage notes. The publication also outlines typical sites of service and service line implications for radiology and outpatient procedural units.
The report provides benchmarks for utilization and reimbursement patterns where available, highlights recent policy updates affecting image-guided biopsy coding, and explains clinical documentation elements that support CPT code 10007 selection. Data limitations are noted where input fields are incomplete. The content is intended for coding professionals, revenue cycle staff, and clinical leaders seeking a national perspective on billing and clinical context for fluoroscopic FNA procedures.
Billing Code Overview
CPT code 10007 describes a fine needle aspiration (FNA) performed under fluoroscopic guidance. The procedure involves using a specialized needle and syringe to collect a diagnostic tissue, cyst, or mass specimen while fluoroscopy provides real-time imaging to guide needle placement.
Service type: Image-guided diagnostic biopsy (FNA)
Typical site of service: Hospital outpatient department, ambulatory surgery center, or radiology suite
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 58-year-old female presents with a 2.5 cm palpable thyroid nodule identified on ultrasound with mixed solid and cystic components. The endocrinologist and interventional radiologist coordinate care. Under conscious sedation in the radiology suite, the interventional radiologist uses fluoroscopic guidance to perform a fine needle aspiration (FNA) of the dominant thyroid lesion to obtain cytologic material. The procedure is documented with indication, informed consent, lesion location and size, needle gauge, number of passes, specimen handling (slides and alcohol fixative), any immediate complications, and post-procedure instructions. The specimen is sent to pathology for cytologic evaluation. Billing uses 10007 for the first lesion sampled; additional lesions would require a separate, reportable biopsy code if applicable. Typical sites of service include the hospital outpatient radiology suite, freestanding imaging center, or ambulatory surgical center depending on facility resources and sedation level.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Office or other outpatient service | When the procedure is performed in an office or outpatient clinic setting without inpatient admission |
22 |