• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Breast Bx

N

NJcoder

Expert
Messages
267
Best answers
0
Can code 19102 (percutaneous, needle core) and 19103 (percutaneous, automated vacuum assisted) be coded together for same breast?

thx
 
The ACS states:

Unbundling Allowed With Appropriate Modifier

Code 19103 (RVU: 5.32) and 19102 (RVU: 2.87) are mutually exclusive. You may typically only bill one of them. You may unbundle them only if you can justify the use of an appropriate modifier. If you are unable to justify the use of a modifier, you should bill 19103 (RVU: 5.32) alone because it has a higher RVU than 19102 (RVU: 2.87). If you try to bill them together without modifier justification, code 19103 (RVU: 5.32) is at risk. Medicare will reimburse for 19102 (RVU: 2.87) at the lower RVU instead.

It states that modifiers 50 & 51 can be used.

I hope that helps.
 
You must log in or register to reply here.
Top