KMO1963
New
pt came in for EMB due to PMB and a cervical polyp is found. 58100 and 57500 performed. 57500 is bundled into 58100, but has higher RVUs. can we bill 57500 only or should we bill 58100 only since that is what was scheduled? TIA
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Wiki 58100 or 57500
- Thread starter KMO1963
- Start date
mmckibbin
Networker
I would only bill for the 57500 it has the higher RVU's.
nielynco
True Blue
I disagree with reporting 57500. You can report 58100-22 if you like, but since this code includes an endocervical biopsy if performed, I doubt you will get paid anything extra. Your documentation supports the EMB with an incidental finding that is taken care of the at the same time.
KMO1963
New
Thank you for your insight, very much appreciated
