AAPC - Back to school
Results 1 to 3 of 3

Thread: Coding confusion

  1. #1

    Question Coding confusion

    AAPC: Back to School
    I am a registered nurse performing clinical breast exams in a hospital setting. I am also a member of the AACP, certified in medical coding. Because I don't practice coding at this time, I do not have access to CPT information. I am looking for a code to cover reimbursement for a certified breast exam specialist, not a Nurse Practitioner to perform clinical exams. To the best of my knowledge there isn't one. The facility I work for is trying to find a way to bill for this. I would be grateful for any help you might be able to give me.

  2. #2


    When you say you are in a hospital setting, do you mean you perform this service to patients admitted as in-patient or do you mean there is a breast clinic at the hospital? Everything I have ever seen RN services are incident to the physician or NPP services and are not separately billable. I do not know of any code for a breast exam, it is just part of the physician/NPP service. You might want to look at exceptions for rural/underserved areas if applicable.


  3. #3
    Join Date
    Apr 2007
    Swainsboro/Statesboro, GA

    Default Exams

    There could be a facility E&M level if this service is performed in the hospital outpatient setting.

Similar Threads

  1. Coding ICD-10 confusion
    By jwalcoff in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-10-2015, 07:29 PM
  2. Exostosis confusion and podiatry coding confusion
    By nsteinhauser in forum Podiatry
    Replies: 17
    Last Post: 12-17-2014, 09:32 AM
  3. coding confusion - Is it ok to code
    By LaVoncye in forum Anesthesia
    Replies: 1
    Last Post: 09-06-2013, 09:33 PM
  4. coding confusion - I just want to see
    By rloechinger@lifespan.org in forum Diagnosis Coding
    Replies: 1
    Last Post: 08-30-2012, 10:20 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.