tci Part B Insider - 2010 Issue 11

PART B CODING COACH:Stay Out of These Common Biopsy Coding Pitfalls and Boost Claims Accuracy

Go beyond 11000 to 'site' specific codes, which can net your practice upwards of $25. If you automatically assign 11100 when your physician specifies a patient's biopsy site, you could be forfeiting reimbursement that your practice deserves. Using CPT's site-specific codes can dramatically increase your coding accuracy. Plus, theypay more than the most widely used code, 11100 (Biopsy of skin, subcutaneous tissue and/or mucous membrane [including simple closure], unless otherwise listed; single lesion). Don't Miss More Pay for More Work Site-specific biopsy codes tell the payer that the physician performed a biopsy at a specific location, rather than a...

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