tci General Surgery Coding Alert - 2000 Issue 5

Obtain Proper Reimbursement for Breast Biopsies

Nugget: If the operative report isn't clear, coders should ask their physicians what procedure was performed before billing for breast biopsies to secure proper payment. There are several procedures that fall under the category of breast biopsy, and even more codes to describe them; so general surgeons need to be specific about the procedure performed in their operative reports. Similarly, coders need to familiarize themselves with the different types of breast biopsies and then carefully read the operative report to determine how best to code what their surgeon did. Given the proliferation of breast biopsy codes, the most...

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