In Billing
Nov 28th, 2012
Your surgeon has excised three skin lesions from the patient’s left shoulder, and now must close the wounds. Should you report both the excisions and repairs? If so, which is primary? CPT® guidelines instruct that all benign (11400-11471) or malignant (11600-11646) skin lesion codes include simple wound closure, but you may separately report intermediate (12031-12057) ...
Sep 4th, 2012
When performing excision of benign (11400-11471) or malignant (11600-11646) skin lesions, physicians must document the location of the lesion, and should measure the lesion and margins prior to excision. The lesion will “shrink” when the incision releases the tension on the skin, which may lead to a lower-level code selection and lost reimbursement. Because CPT® ...
Jun 1st, 2010
By G. John Verhovshek, MA, CPC Used appropriately, modifier 59 Distinct procedural service is a powerful reimbursement tool allowing for separate payment of distinct services that, under usual circumstances, would not be billed together. For this same reason, the modifier also allows ample opportunity for misuse and abuse. The competent coder will apply modifier 59 ...
Apr 1st, 2010
By Trina Cuppett, CPC, CPC-H and G. John Verhovshek, MA, CPC Coding skin neoplasm diagnoses and excisions requires careful attention to detail. The key to accurate reporting is knowing the sort of detail to look for and where to find it. The following basic guidelines will set you on the right path. Diagnosis Reporting: Let ...
Jan 1st, 2009
By Jennifer Swindle, CPC, CEMC, CFPC, RHIT, CCS-P, CCP-P There are many minor skin procedures performed in the medical office. It’s critical for coders and physicians to communicate effectively so documentation is clear and concise, coding is accurate, and reimbursement is appropriate. Biopsies, excisions of both benign and malignant lesions, destruction of pre-malignant and benign ...