decisionhealth Newsletters, Part B News - 2009 Issue 1 (January)
Ask a Part B News Expert - Office visit after biopsy
Subscribe or sign in to view the full article.
Article Overview
This article answers a reader question about Medicare billing for a follow-up office visit after a prostate ultrasound and biopsy. It explains the general context for distinguishing bundled post-procedure care from separately reportable evaluation and management services when new findings or care planning are discussed. The piece is aimed at coding and billing professionals who need guidance on how post-biopsy visits are viewed in relation to global periods, follow-up work, and related office visit reporting.
Why This Topic Matters
Post-biopsy follow-up visits are common, and the billing treatment can affect whether a practice reports an office visit or considers the encounter included in the procedure payment. Understanding the article helps coders and billers recognize when the discussion centers on routine post-procedure care versus a visit tied to new diagnostic information and additional management.
What You Will Learn
- How follow-up visits after a biopsy are discussed in the context of Medicare global payment concepts.
- How the article frames visits that involve reviewing results and discussing next steps.
- How counseling, coordination of care, and prolonged service concepts are mentioned in relation to office visit reporting.
- How the article distinguishes follow-up care when results are negative versus when a new diagnosis is identified.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician offices
- Urology practices
- Compliance personnel
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com