dQM CMS Content Implementation Guide
2026.1.0 - CI Build

dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2026/ and changes regularly. See the Directory of published versions

## ValueSet: Core Needle Biopsy Procedures

Official URL: https://example.org/fhir/ValueSet/core-needle-biopsy | Version: 1.0.0
Draft as of 2026-06-16 | Computable Name: CoreNeedleBiopsy

SNOMED-CT and CPT codes for core needle biopsy procedures

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include these codes as defined in `http://snomed.info/sct` version Not Stated (use latest from terminology server)

  Code | Display
  44578009 | Core needle biopsy of breast (procedure)
  171000119109 | Core needle biopsy of lesion of breast (procedure)
  274331003 | Percutaneous needle biopsy of breast (procedure)

- Include these codes as defined in `http://www.ama-assn.org/go/cpt` version Not Stated (use latest from terminology server)

  Code | Display
  19100 | Biopsy of breast; percutaneous, needle core
  19081 | Biopsy, breast, with placement of breast localization device, mammographic guidance

### Expansion

Expansion from tx.fhir.org based on:

- SNOMED CT United States edition 01-Sep 2025
- codesystem Current Procedural Terminology (CPT®) version 2023

This value set contains 4 concepts

System | Code | Display (en) | JSON | XML
`http://snomed.info/sct` | 44578009 | Core needle biopsy of breast |  |
`http://snomed.info/sct` | 274331003 | Surgical biopsy of breast |  |
`http://www.ama-assn.org/go/cpt` | 19100 | Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) |  |
`http://www.ama-assn.org/go/cpt` | 19081 | Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code