Tuesday, August 9, 2016

Clinical Corner - Second Biopsy Case

Question: We have a 44 year old that had multiple suspicious masses that were noted as microcalcifications on her mammogram report. Her ultrasound reports noted 5 hypoechoic masses with irregular margins and a Birads-5 result. Patient proceeded to have two left ultrasound guided core breast biopsies and a left breast ultrasound guided lymph node biopsy. Now that WWC will reimburse for a second breast biopsy on the same day, what should we enter in eCaST for proper reimbursement on this case?


Answer: Both left breast ultrasound guided core biopsies should be entered into eCaST. Please be sure to email the nurse consultant when both results are entered to ensure timely reimbursement. The second biopsy entered will be reimbursed on top of a B4 level reimbursement.

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