tci General Surgery Coding Alert - 2022 Issue Q1

Reader Questions: Unravel Bilateral Breast Coding Conundrum

Question: We received a Medicare denial for a claim involving two units of 19083 with modifiers LT and RT because the surgeon performed the procedure in each breast. What is the reason for the denial, and what should we do differently? Tennessee Subscriber Answer: The bilateral surgery indicator of “1” indicates you can bill 19083 (Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance) as a bilateral procedure. However, the CPT® code book instructs you to report one unit...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.