jenmendoza
Contributor
Hello!
I would like to kindly inquire regarding the proper coding for biopsy, especially if there is more than one type of biopsy done during a patient's single visit. The scenario will be as follows:
Scenario One:
Patient came in for a visit, and ended up having one punch biopsy and two shave biopsies.
Question:
Considering the above, do we code it as the following below?
E/M Code; mod 25
11104; qty. 1
11103 qty. 2
Scenario Two:
Patient came in for a visit, and somehow ended up having 2 incisional biopsies, one punch biopsy, and one shave biopsy.
Question:
Considering the above, do we code it as the following below?
E/M Code; mod 25
11106; qty. 1
11107; qty. 1
11105; qty. 1
11103; qty. 1
I am under the impression that when coding biopsies, the priority of order would be incisional > punch > shave in terms of reimbursement when pushing the claim through charge review. Is this correct by any chance?
TYIA for the responses!
I would like to kindly inquire regarding the proper coding for biopsy, especially if there is more than one type of biopsy done during a patient's single visit. The scenario will be as follows:
Scenario One:
Patient came in for a visit, and ended up having one punch biopsy and two shave biopsies.
Question:
Considering the above, do we code it as the following below?
E/M Code; mod 25
11104; qty. 1
11103 qty. 2
Scenario Two:
Patient came in for a visit, and somehow ended up having 2 incisional biopsies, one punch biopsy, and one shave biopsy.
Question:
Considering the above, do we code it as the following below?
E/M Code; mod 25
11106; qty. 1
11107; qty. 1
11105; qty. 1
11103; qty. 1
I am under the impression that when coding biopsies, the priority of order would be incisional > punch > shave in terms of reimbursement when pushing the claim through charge review. Is this correct by any chance?
TYIA for the responses!