• 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 cyst aspiration

Create Wiki
K

Kimberley

Expert
Messages
288
Location
Bronx, NY
Best answers
0
Using 1% lidocaine local anesthesia and aseptic technique, 3 of the largest cysts in the 12:00 position were aspirated using a 20-gauge aspiration needle. Small amount of fluid was recovered. Post aspiration left mammogram was obtained of which mammogram reveals resolution of previously noted nodular density in the central aspect of the left breast.

If US guidance is only mentioned in the header of the report, is it billable?

Is a post mammogram billable? If mammo performed b/4 and after are they both billable, the after with a 76 modifier???

19000 or 19000, 19001 x 2 I'm thinking 19000 is correct since the cysts were all in the 12:00 position.
 
I agree with you on the 19000, since it doesn't look like the needle was withdrawn and reinserted. I also agree with adding the modifier to the 2nd mam but I don't know if you will get paid or not. My claim scrubber is telling me no for medicare but ok for commercial. Based on the note you posted I would not bill for the US, but I tend to be more conservative. I have always been told that you have to bill for what is in the op report itself, not the header.

Hope this is helpful,

Laura, CPC
 
You must log in or register to reply here.
Top