tci Part B Insider - 2005 Issue 40

SURGERY: Miss Out On Lesion Excision, And Cut Out Your Own Payments

Sometimes a "punch biopsy" isn't really a biopsyDon't bill for a biopsy when your physician goes to all the trouble of removing a lesion completely--or your doctor's work will go unrewarded. You can easily mistake a lesion excision for a biopsy because when your physician removes a lesion, he or she will usually send a sample of the lesion for a biopsy afterward. But a biopsy refers only to removing part of the lesion for testing, not the whole thing, including margins, says Carrie Ontiveros, coding specialist with the Wichita Clinic in Wichita, KS."I get a lot of...

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