AAPC - Back to school
Results 1 to 3 of 3

Thread: New to Derm billing, question about neoplasm dx's

  1. #1

    Question New to Derm billing, question about neoplasm dx's

    AAPC: Back to School
    Hello everyone,
    I have recently acquired the billing for a new dermatologist to our group so I may have a few basic questions along the way.
    The doctor sends me encounters that list the diagnosis for a biopsy as uncertain behavior because the pathology has not been completed. I think I should be waiting for the path report to come back before sending the claim. She usually does this only for biopsies, other than that she is pretty knowledgable about derm coding and billing. Any insights into this issue anyone?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    you cannot use the 238.x codes without a path report as those codes indicate the path result of cells of uncertain behavior, they are not for a visual inspection that cannot be determined. A biopsy does not require that you wait for path but you can only use what is known at the time which is usually in the 709.x category. By assigning a 238.x code you are communicating a dx the patient may not have which can have the result of causing hirger premiums for the patient as it will increase their risk.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    Thanks for the info.

Similar Threads

  1. When to code current neoplasm versus history of neoplasm?
    By Varnold in forum Diagnosis Coding
    Replies: 3
    Last Post: 05-24-2014, 11:30 PM
  2. Derm question
    By gayleenfcollins in forum Dermatology
    Replies: 1
    Last Post: 12-09-2013, 07:39 AM
  3. crazy derm question :)
    By BABS37 in forum Dermatology
    Replies: 2
    Last Post: 07-09-2013, 12:12 PM
  4. Neoplasm coding question
    By shaill in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-29-2008, 09:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.