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Wiki Biposy of Basal cell carcinoma
- Thread starter smlow
- Start date
mitchellde
True Blue
You need a path report to know that it is a basal cell CA.
CatchTheWind
Guest
I am not aware of any rule that requires the diagnosis to be made microscopically. In other words, although it is not common (and maybe not an accepted) medical practice, I don't think it breaks any coding rules. (If there are any, I'm open to hearing them.)
That still doesn't mean I would advise it, for a couple of reasons: One is that if records are requested, the payer could challenge the CPT code, and, without the path report, there will be no proof that it warranted a malignant code. Second is that, if the doctor does this regularly, could lead to suspicion that he is fraudulently treating stuff that doesn't need to be treated.
That still doesn't mean I would advise it, for a couple of reasons: One is that if records are requested, the payer could challenge the CPT code, and, without the path report, there will be no proof that it warranted a malignant code. Second is that, if the doctor does this regularly, could lead to suspicion that he is fraudulently treating stuff that doesn't need to be treated.
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