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Wiki prostate bx

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jcrahan13

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I work for a urology practice and we frequently perform prostate bxs. Some payers will pay the 55700 in addition to the lidocaine injection 96372, however recently BCBS and Tufts have been rejecting the 96372 code. Any suggestions on why this is? I am guessing because they are including it in the 55700 code? I am still fairly new to coding and don't have much help as the only other coder is remote, any help is greatly appreciated!
 
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Is this just for certain payers? Because Medicare pays for the anesthetic code. Also the provider isn't the one giving the injection it is the US tech so does that make a difference?
 
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