tci General Surgery Coding Alert - 2017 Issue 6

Case Study: Take Aim at Correct Coding for EUS FNA

Don’t unbundle ultrasound, aspiration. When your surgeon preforms certain lower GI tract procedures with many steps, knowing which service components require separate codes can be confusing. Problem: If you individually code too many of the parts of a multi-step procedure you risk “unbundling” and facing fraud charges. Conversely, you don’t want to leave off legitimate separate work and risk leaving money on the table. Do this: Study the following surgical case, then see how our experts break it down for proper reporting. Here’s the Case A 57-year-old male with a diagnosis of anemia presented with...

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