Camille Posted Thu 30th of January, 2020 17:59:45 PM
When a provider does a biopsy of granulation tissue from the abscess cavity in which she/he is performing the I&D (CPT 46050), is the biopsy separately reportable? Thank you, kindly!
SuperCoder Answered Fri 31st of January, 2020 04:03:46 AM
Thank you for the Question!
As per NCCI policy manual, A biopsy performed at the time of another more extensive procedure (e.g., excision, destruction, removal) is separately reportable under specific circumstances. The biopsy is not separately reportable if used for the purpose of assessing margins of resection or verifying resectability.
I&D performed for an abscess/cellulitis does not involve biopsy. Biopsy performed for abscess/cellultis is a separate procedure and not a component of incision and drainage procedure. Hence, these procedures can be seperately reportable. NCCI doesn’t show any coding conflict when we report both procedure codes together. Kindly check with your respective payer for any specific reimbursement guidelines.
Hope that Helps!