Cracking the Code
Biopsy Followed By Definitive Procedure
For inpatient medical coders, it is important to follow the ICD-10-PCS coding guidelines when reporting medical procedures. Per coding guidelines, if a diagnostic biopsy is followed by a more definitive procedure, then it is appropriate to report both the biopsy and the more definitive treatment. When a provider’s documentation states that an excision, extraction, or drainage procedure (biopsy) was performed and a destruction, excision, or resection is completed as well at the same procedure site, then both procedures should be reported.
0BBG3ZX, excision of left upper lung lobe, percutaneous approach, diagnostic