Wiki Open Breast Biopsies and Clip placements....How are you handling?????

mlinton

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Martinsburg, WV
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Reporting open excision of breast lesions (such as lesions of the breast ducts, cysts, benign or malignant tumors), without specific attention to adequate surgical margins,markers using 19125-19126. (Source: CPT instructional notes) is causing editing for NCCI edit when billed the same date/claim with the preoperative placement of radiological clip/device 19283 done by radiologist. Is this accurate? The biopsy 19125 is an open procedure done by surgeon and the clip is placed at a separate encounter preoperatively by radiologist. Please provide guidance on how your facility is handling.

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