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Posted By Jennifer on 02-12-2002, 18:13:00 in Urology
The last seminar I attended-(MCVEY 01/2002)- someone who was there said that they saw somewhere that Medicare requires that pathology reports come back before billing prostate ultrasounds with biopsy. Has anyone else heard this, and are you waiting?The speaker somewhat confirmed that but didn't spend a lot of time talking about it.

Also, of course consultations and new patient visits were discussed. The speaker pretty much said that all first time visits should NOT be coded as consultations unless only an opinion is asked for. We can not render treatment of any kind. That is totally opposite from what CPT says. How are you billing new patient visits who were requested by other physicians-have the basic 3 criterias met-yet you render or order treatment???

-Jennifer Vanderhorst CPC
Comments (5)
Posted By becky on 02-13-2002, 14:12:00
Medicare in North Carolina does not require that you wait for the path report.
Posted By Bobbi on 02-13-2002, 12:57:00
We only do this at the hospital so I use 55700,
76872-26, 76942-26

Posted By Jennifer on 02-13-2002, 12:38:00
You will get paid without waiting for the path reports, but has anyone heard
that Medicare requires that you wait for the path for the definitive diag
before billing? thx!
Posted By chandra on 02-13-2002, 12:17:00
Posted By Bobbi on 02-12-2002, 18:36:00
I do not wait for pathology reports and have been paid
every time.

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