tci Part B Insider - 2012 Issue 25

Part B Coding Coach: Capture Each Step of 2-Phase Case to Boost Breast Surgery Pay

Distinguish lesion excision, lumpectomy. When a patient advances through multiple diagnostic and treatment steps for breast cancer, your surgeon might perform several procedures -- and you might face bundling issues that limit your billing opportunities. Let our experts lead you through one case in point - from initial patient complaint to definitive diagnosis -- so you can learn how to capture all the pay your surgeon deserves. Phase 1: Needle Specimens for Diagnosis Scenario: Based on mammogram findings of a lump in her right breast (upper inner quadrant), a patient presents to your surgeon's suite for an ordered fine...

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