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Thread: attempted ovarian bx

  1. #1

    Talking attempted ovarian bx

    AAPC: Back to School
    Hello all,
    Doctor did do dx laparoscopy, then bx forceps were inserted. The fluid-filled and collapsed w/o substance on removal. This was attemped multiple times.

    49320 only or 49321-52?

    Thanks and everyone have a great THANKSGIVING!

  2. #2
    Join Date
    Apr 2007


    hmmm, were the biopsies taken and then just lost during retreival? I'm thinking that you may not need to do the 52 if it was actually taken and lost.

    any other thoughts?

  3. #3
    Join Date
    Apr 2007
    Lincoln, NE


    My opinion:
    I would not bill the 52 (reduced services modifier) as surgeon ATTEMPTED bx mult times without success so this effort constitues more than dx laparoscopy.

    Julie, CPC

  4. #4


    Doctor does state "this was attempted at least 4 or 5 times w/ the same result that the area would collapse". Nothing was removed for path.

  5. #5
    Join Date
    Apr 2007
    Lincoln, NE


    I still think 49321 due to attempt.


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