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Benign Excisions with Frozen Sections

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We have received rejections from Medicare when billing a benign excision code with 88331 & 88332
stating that the frozen section codes can't be billed with the benign excision even though it was
medically necessary and they say we can't submit an appeal.
Original pathology recommended complete excision because the surface of a sebaceous
carcinoma can not be excluded.
Ha anyone else experienced this issue and how did you get the services paid?
 
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