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Breast surgeon saw a new patient in office. Walked across the hall to outpatient facility and did a breast biopsy. Billing would be e&m code in office and biopsy in outpatient facility. Can we bill for both and do we need a modifier?
I will assume that each note stands on its own and that at the initial visit is when the provider made the decision to perform the breast biopsy. Assuming all that is true, you can bill for both and put -57 on the visit to indicate it was the decision for surgery.