Melyssa724
New
I have several claims where a general surgeon is billing for a breast biopsy w/placement of localization device and ultrasound guidance (performed in the office) who also bills for a limited ultrasound. I review the E/M and it does not indicate that an ultrasound was performed on the breast PRIOR to the biopsy being performed to locate the mass. Only a physical exam was performed to locate the breast mass and mammogram findings reviewed.
Am I correct in stating that the ultrasound is included in the breast biopsy as the CPT describes and the physician cannot bill for a limited U/S separately?
Thanks for any feedback!
Am I correct in stating that the ultrasound is included in the breast biopsy as the CPT describes and the physician cannot bill for a limited U/S separately?
Thanks for any feedback!
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