Every biopsy generates two claims: one for the procedure, one for the pathology interpretation. When these don't match, revenue disappears. Here's how to fix it.
In dermatology, a single biopsy triggers two separate billing events: the procedural claim from the dermatology practice and the pathology interpretation claim from the lab. When these two claims have mismatched diagnosis codes, conflicting specimen counts, or timing discrepancies, both claims can be denied.