Wiki E/M following Breast Biospy

[NESmith]

If a patient has a breats biospy(19120) for a breast mass and the path report comes back with infiltrating mammory carcinoma. The patient comes in for a follow-up to discuss biospy and results. Can this be billed as an E/M because of the change in the diagnosis?

Thank You for your help in this matter.

 

[mcarrillo]

I would say not. It is a post-op (follow up visit) for the procedure. Even if the diagnosis is more specific now due to the path results, it is still the reason for the follow up visit.

Hope this helps