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Breast Biopsy and Ablation on same DOS

  1. #1
    Default Breast Biopsy and Ablation on same DOS
    Medical Coding Books
    I am trying to find information on billing CPT code 19103 with 19105 in the same session. Our carriers are bundling the two together, which I think is correct, but the surgeon says "no". He is adding modifier 59 to 19105 and they are still bundling. I think the modifier is inappropriate and have told him such to no avail. Can anyone out there direct me to documentation. NCCI does not have these codes as bundled. Thanks

  2. Default Par
    Have You Tried Appealing With Documentation Or Tried Using A Different Modifier?

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