I code for outpatient hospital. This happens often for one reason or another. I look at each report to determine exactly what we did. If we did not puncture the skin to attempt to do invasive component, we generally full discount the procedure if only scout imaging was done. These patients typically have had mammograms already and/or some other diagnostic exam, (ultrasound or MRI) in order to get to this point. Many times the patient will be rescheduled and return for another attempt, and if successful we would code out that one.
Correct coding allows the 52, I believe, but we only modify it that way if the skin was actually punctured.
I'd like to know what others are doing as well as this has always been one of those controversial topics.
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