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Mammo imaging post biopsy procedure

  1. #1
    New Haven, CT
    Default Mammo imaging post biopsy procedure
    Medical Coding Books
    We perform many image-guided breast biopsy procedures (billing for the technical component). Currently CPT dictates that post procedure mammo (to check for accurate deployment of needle placement or clip placement) when biopsy is done under a different modality (U/s, MRI . . ) can be billed. Would a modifier 52 be attached to the G0206 code if only two post biopsy images are done ? Our docs are telling us they do not want the patient billed for these post images and that conflicts with CPT. Advice anyone ? Thanks.
    Last edited by SharL ; 03-17-2009 at 07:14 AM. Reason: typo

  2. Default
    A modifier isn't required. But it's up to your practice to decide whether to bill or not.

    Diane Huston, CPC,RCC

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