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32408

Core Needle Biopsy of Lung or Mediastinum

Code Description

CPT code 32408 is used to report a percutaneous core needle biopsy of the lung or mediastinum performed with imaging guidance. During the procedure, a physician inserts a specialized biopsy needle through the chest wall to obtain tissue samples from a suspicious lesion or abnormal area.

The tissue sample is sent to a pathology laboratory for evaluation and is commonly used to help diagnose lung cancer, infections, inflammatory diseases, and other pulmonary abnormalities.

When to Use 32408

Common examples include:

  • suspicious lung nodules

  • abnormal chest CT findings

  • lung masses

  • mediastinal lesions

  • suspected malignancy

Documentation Requirements

Documentation should include:

  • lesion location

  • imaging guidance utilized

  • biopsy technique performed

  • number of samples obtained

  • patient tolerance of procedure

Common Billing Mistakes

Common billing mistakes include:

  • selecting the wrong lung biopsy code

  • insufficient imaging documentation

  • failure to document tissue sampling

  • incorrect lesion identification

  • missing procedural details

Related CPT Codes
32400

Needle Biopsy of Lung

32407

Fine Needle Aspiration of Lung

77012

CT Guidance for Needle Placement

FAQ
What is the difference between a core biopsy and a fine needle aspiration?

A core biopsy removes a small piece of tissue for examination, while a fine needle aspiration collects individual cells or fluid.

Is CPT 32408 commonly used for lung cancer diagnosis?

Yes. The procedure is frequently performed when a suspicious lung nodule or mass requires tissue confirmation.

What imaging methods are typically used during the procedure?

CT guidance is most commonly used, although other imaging techniques may be appropriate depending on the clinical situation.

Is CPT 32408 considered minimally invasive?

Yes. The procedure is performed through a small skin puncture rather than an open surgical incision.

Procedure Type

Needle Biopsy

Body Area

Technique

Lung or Mediastinum

Core Needle Biopsy