We have always sent out our biopsy codes with the diagnosis code D49.2 (neoplasm of unspecified behavior of bone, soft tissue, and skin) because we do not know what the actual diagnosis is until we receive the pathology report back and have never had an issue getting the codes paid by Medicare. Now with the new biopsy codes they are all being denied due to it not being medically necessary. Is anyone else having this issue and do we now have to hold all biopsy charges until we get the final pathology report back?
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