Metastatic disease vs prinicpal dx

rbynmnk

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I could use some input, our physicians typically only bill for the area in which they are treating even though the patient may have proven metastatic disease.

For example, patient is being treated for malignant neoplasm of the base of the tongue. Patient has also been diagnosed with poorly differentiated squamous cell carcinoma (biopsy proven). Our physician saw the patient for an evaluation only as they will be starting chemo with another provider.

We billed C02.8 only; should we have also billed out the pulmonary metastasis?

Any input, would be greatly appreciated.

Thank you,

Robyn M
 
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