Jul 16th, 2016 - jswhit 2
daily limit for skin biopsies CPT® 11100 & 11101?
Our office has had 2 recent claims for 11100 qty of 1 & 11101 qty of 7 denied by Medicare. We also had another claim for 11100 qty of 1 & 11101 qty of 11 denied as well. Is there a limit on the number of biopsies that can be done on one day according to Medicare? We haven't been able to find a definitive answer as to whether there is a daily limit or not. Any help would be appreciated. Thanks.
Jul 16th, 2016 - petunia 195
re: daily limit for skin biopsies CPT® 11100 & 11101?
11101 has a MUE of 6. We typically bill what we do and then appeal with good documentation and Med necessity they will consider more.