Wiki Add-on code 19295

[llsnyder]

I have an op report that reads the only procedure performed is an ultrasound guided placement of 2 clips (19295), the lesions were previously biopsied during a different session/date. I contacted the Breast Care Center to advise that these are add-on codes and cannot stand alone.

The Breast Care Center checked with the surgeon and he understands that 19295 should be used in conjuction with 10022, 19102, 19103 but he only placed the clips during this procedure. Per the doctor, this type of situation only occurs about once every 5 years.

My question, can I bill these add-on codes for a denial or is it considered inappropriate billing?

Thanks,
Lori

 

[lisbey]

for this you would bill an unlisted code for breast 19499x2 with your guidance