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58100 or 57500

K

KMO1963

Contributor
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16
Location
Glendale, AZ
pt came in for EMB due to PMB and a cervical polyp is found. 58100 and 57500 performed. 57500 is bundled into 58100, but has higher RVUs. can we bill 57500 only or should we bill 58100 only since that is what was scheduled? TIA
 
KMO1963 said:
pt came in for EMB due to PMB and a cervical polyp is found. 58100 and 57500 performed. 57500 is bundled into 58100, but has higher RVUs. can we bill 57500 only or should we bill 58100 only since that is what was scheduled? TIA
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I disagree with reporting 57500. You can report 58100-22 if you like, but since this code includes an endocervical biopsy if performed, I doubt you will get paid anything extra. Your documentation supports the EMB with an incidental finding that is taken care of the at the same time.
 
nielynco said:
I disagree with reporting 57500. You can report 58100-22 if you like, but since this code includes an endocervical biopsy if performed, I doubt you will get paid anything extra. Your documentation supports the EMB with an incidental finding that is taken care of the at the same time.
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Thank you for your insight, very much appreciated :)
 
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