Wiki FQHC billing for Lesion Removal

rmyohn

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Trying to figure out how to bill a lesion removal as an FQHC. According to CMS guidelines, when the visit is strictly for a lesion removal, no E&M code should be added. How is this handled with an FQHC? My thought is that we can't bill this, it would have to be captured with the cost report at the end of the year. A co-worker seems to think that because they are having a face-to-face for the removal that we can go ahead and add a G-code to this and receive payment directly. Any thoughts? Thank you
 
If you are talking Medicare; you cannot bill any procedures to them. This started when the PPS payment system started. It is face to face but if you review your qualifying visits you will see it is not on there and so there is not a corresponding GCode to bill with it.
 
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