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insurances not updated with the new biopsy codes

  1. #1
    Default insurances not updated with the new biopsy codes
    Clearnace Sale
    So almost all insurance companies except for MEDICARE seems to not have updated their systems to accept the new biopsy codes...

    Do we continue to use 11100 and 11101 or wait it out?

  2. #2
    Default
    I'd recommend waiting and let them correct their error and not add your own to the mix. If you submit incorrect codes just to get payment, you'll end up having those payment recovered somewhere down the road and then will have to submit corrected claims all over again. Two wrongs don't make a right, so to speak.

  3. #3
    Default
    Hello, Yes I am in agreement. Donít revert to inactive skin biopsy CPT codes just to receive reimbursement for 2019 dates of service.We have a number of HMOís that havenít updated their online portals to allow us to request authorizations for the new skin biopsy CPTís. Commercial insurance companies will have to conform to AMA CPT changes! Best of luck!
    -Robert Meza

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