Author Topic: BIOPSY INTERGLUTEAL FOLD CPT CODE ?  (Read 96 times)

mimranbilling

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BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« on: June 28, 2021, 12:15:08 AM »
Hi Everyone,

I hope you all are doing well and staying safe. Can someone please guide me which CPT is most appropriate to use for INTERGLUTEAL FOLD BIOPSY? I have posted physician Note also below. I really appreciate your help. Thank you.

ICD 10 Codes :
A63.0
K62.82


AREA PREPPED WITH BETADINE AND BLT APPLIED
LIDOCAINE 1 % WITH EPI .  TOTAL 10 ML INJECTED INTO AREA FOR ANESTHESIA
BIOPSY OF INTERGLUTAL FOLD DYSPLASIA DONE WITH BABY TISCHLERS AND SUBMITTED TO PATHOLOGY
MINIMAL BLEEDING
NO COMPLICATIONS
TIME 30 MIN

« Last Edit: June 28, 2021, 12:17:00 AM by mimranbilling »

Michele

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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #1 on: June 28, 2021, 02:47:02 PM »
I am not a certified coder but everything I am seeing points to 27047.
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mimranbilling

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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #2 on: June 28, 2021, 05:57:30 PM »
Thank you Michelle. I am coming up with the same code when I am searching on Google but I want to be sure before to bill it out.

mimranbilling

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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #3 on: June 29, 2021, 03:16:47 PM »
We received the path report today and as per Path report the diagnoses are (ANOGENITAL WARTS/ HPV      .   HIGH GRADE DYSPLASIA     CARCINOMA IN SITU ANAL SKIN AND CANAL). Non of the returned path result matches with the crossover code of 27047. Can someone please help me to understand which Biopsy code can be billed for this procedure?

Crossover codes for 27047

C49.20
Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip
C49.21
Malignant neoplasm of connective and soft tissue of right lower limb, including hip
C49.22
Malignant neoplasm of connective and soft tissue of left lower limb, including hip
C49.5
Malignant neoplasm of connective and soft tissue of pelvis
C79.89
Secondary malignant neoplasm of other specified sites
D21.20
Benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip
D21.21
Benign neoplasm of connective and other soft tissue of right lower limb, including hip
D21.22
Benign neoplasm of connective and other soft tissue of left lower limb, including hip
D21.5
Benign neoplasm of connective and other soft tissue of pelvis
D48.1
Neoplasm of uncertain behavior of connective and other soft tissue
D49.2
Neoplasm of unspecified behavior of bone, soft tissue, and skin

Michele

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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #4 on: June 30, 2021, 10:12:34 AM »
I'm not sure what you mean.  Do you mean that none of the diagnoses are considered medically necessary for the 27047?
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mimranbilling

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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #5 on: July 01, 2021, 02:04:24 PM »
Yes. Patient diagnoses are (ANOGENITAL WARTS/ HPV      .   HIGH GRADE DYSPLASIA     CARCINOMA IN SITU ANAL SKIN AND CANAL) & A63.0
K62.82 but these all are not acceptable to bill out 27047.

After reviewing Path report I had to use 11102 for Biopsy. Thank you so much for your help Michele.

Michele

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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #6 on: July 02, 2021, 12:38:57 PM »
Glad you got it figured out!
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Re: BIOPSY INTERGLUTEAL FOLD CPT CODE ?
« Reply #6 on: July 02, 2021, 12:38:57 PM »