In Billing
Oct 30th, 2013
Question: A patient had a biopsy done at another facility by a different provider. The biopsy showed squamous cell carcinoma, and our dermatologist performed a further excision to obtain clear margins at that site. The path report for this follow-up excision came back as actinic keratosis. Would the proper CPT® coding be 11603 (based on ...
Aug 1st, 2013
Stellar skin cancer coding requires more than just an 
understanding of ICD-9-CM principles for neoplasms. By Betty Hovey, CPC, CPMA, CPC-I, CPB, CPC-H, CPCD The more you know about skin cancer and anatomy, the easier it will be to code for benign and malignant neoplasms diagnoses using ICD-9-CM guidelines and proper sequencing. Let’s start with ...
Sep 1st, 2011
As always, careful review of the documentation is necessary for correct coding, as well. By Brenda Chidester-Palmer, CPC, CPC-I, CEMC, CASCC, CCS-P When documented by a physician, the simple statement “removal of lesion” can lead to many different coding choices. To choose the correct code, you will need three precise pieces of information: The type ...
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 ...