Otolaryngology Coding Alert

Coding Quiz Answers:

3 Solutions Reveal Your Lesion Removal Weaknesses

Add this modifier for re-excisions during the 10-day global period. Discover if your responses to scenarios 1-3 are spoton, or if you need to dig deeper into lesion excision coding concepts. Important: "You always need to have the site of the lesion or tumor as well as the excision size including all the margins," Rhonda Hardison, CPC, clinical quality coding coordinator for Lake Physician Group in Baton Rouge, La. "If the physician doesn't give you this information, he or she needs to make an addendum to his procedure note." Also, "save yourself time and money by waiting for the path report to come back before you bill your excision code. Excisions of malignant lesions pay more than excisions of benign ones," says Fariba Nesary, CPC, billing supervisor at University ENT in Albany, N.Y. Strike Out E/M With Simple Excision Scenario 1: A family physician (FP) refers a patient to your [...]
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