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19102 Breast Biopsy

Stephnaie Posted Mon 10th of February, 2014 17:58:37 PM

We are a billing company and bill for the technical side and the professional side. How do you bill the 19102 for Professional and Technice.

SuperCoder Answered Tue 11th of February, 2014 14:47:26 PM

19102 is a deleted code for 2014.

Stephnaie Posted Tue 11th of February, 2014 17:49:39 PM

I meant 19083. Since it is a procedure, it there anything to bill on the technical side?

Stephnaie Posted Wed 12th of February, 2014 18:14:30 PM

Will this be answered soon?

SuperCoder Answered Fri 14th of February, 2014 05:08:54 AM

19083 does not divide into professional and technical components as it is a "physician services code" on the MPFS. The payment rate differs based on whether the physician reports the code for a facility or non-facility setting. So if you're reporting 19083 for a non-facility setting you get extra reimbursement to cover the added costs. If the procedure takes place in a facility, then the physician gets lower reimbursement and the facility can report the service using the appropriate method.

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