If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Has anyone seen an update on the Medicare LCD that came out for the new biopsy codes that didn't include the ICD-10 for rash? What are your providers billing to Medicare when this service is performed for this diagnosis?
I have no problem getting claims paid, by any payer, with the new 2019 biopsy codes. We use Rash and Dermatitis almost every day with a shave biopsy. I'm in Florida, so we have many travelers who come into contact with something here, that makes them break out. The only issue I have seen recently, is UHC wanting a 59 modifier on all biopsy codes, regardless of what else is billed on claim. We talked to a UHC Rep who stated their system is behind, so they're still looking at 2018 Edits. We just appeal with CCI Edits and it gets paid. Hope this helps!