Visit post excisional biopsy: Is it separately payable?

Article Overview

This article examines whether an office visit after a breast excisional biopsy may be separately payable, and why payer responses can differ. It is aimed at coders, billers, and physicians who handle postoperative evaluation and management services, global period issues, and modifier-based reporting guidance. The discussion references professional society commentary, Medicare carrier practices, and broader questions about when follow-up care is considered related to a prior procedure versus a distinct service.