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Thread: authorization code vs final code

  1. #1
    Join Date
    Apr 2007

    Default authorization code vs final code

    AAPC: Back to School
    How many ASC coders out there have problems with what the booking was compare to what actual you coded. Had a couple of times that we got authorization for certain procedures and the code is different from the booking to the actual procedure when finished. Ever had that problem ?

  2. #2


    I do. mostly with biopsies. Our physicians like to exsise the entire tumor/mass/lipoma etc. So then it becomes an excision code rather than biopsy and they didn't pre auth the code that is billed. My administrator just asked me about that and now they are pre authing biopsy and or excision
    Last edited by ASC CODER; 08-25-2011 at 09:41 AM.

  3. #3


    I have that problem, too.

    It's frustrating - you have to code what was done....

  4. #4
    Join Date
    Apr 2007
    Honolulu, HI


    I see this a lot where I work too. You can only code what is done.

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