Medicare Compliance & Reimbursement

Go beyond 11000 to 'site' specific codes, which can net your practice  upwards of $25. If you automatically assign 11100 when your physician specifies a patient's biopsy site, you could be forfeiting reimbursement that your practice deserves. Using CPT's site-specific codes can dramatically increase your coding accuracy. Plus, they pay more than the most widely used code, 11100 (Biopsy of skin, subcutaneous tissue and/or mucous membrane [includingsimple closure], unless otherwise listed; single lesion). Don't Miss More Pay for More Work Site-specific biopsy codes tell the payer that the physician performed a biopsy at a specific location, rather than a generic integumentary based biopsy (11000). A site-specific biopsy code also represents a more complicated procedure than 11000 does. Result: The doctor deserves more pay for the higher level of complexity of these site-specific procedures. Your practice is losing income if your physicians overlook these site specific codes, which is easy to [...]