dermatology coding

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    Wiki BCBS unwritten policy for AS modifier??

    Has anyone received a denial for a PA/NP where BCBS states they want an AS modifier on a 10 day global surgery that the APP performed? This is not in an assistant surgery capacity. There is no MD involvement in the minor procedure. According to BCBS, this lets them know that an APP performed...
  2. C

    Wiki Stagged excision with next day closure

    When we are billing a stagged excision for a melanoma the complex closure is getting denied. I am billing first day 11606-58 and next day 13101-58. I have resubmitted with medical records and still denied. Malignant Melanoma(C43.59)located on the right inferior upper back.Plan: Repair...
  3. J

    Wiki Dilated Pore of Winer - How to code pus removal?

    I have a question on how to code for this procedure, if I'm able to at all. Patient has a dilated pore of winer, the following is the procedure note: One dilated pore of Winer approximately 1/2 inch in length removed today by carefully squeezing the contents out of the pore. Patient tolerated...
  4. C

    Wiki Removal of Epidermoid cyst

    Can anyone assist with helping me pick a code for this procedure? Below is the documentation that the provider made and the ICD-10 used is, L72.0: Epidermal cyst. It was not sent for pathology, she didn't drain it, and only a part of the membrane was removed. Cyst Removal: Site(s): Medications...
  5. J

    Wiki PDL Coding within Global Period?

    Hello! I am aware that PDL Coding (e.g., 17107~) of any kind has a global period of 90 days. However, I have a provider that bills for PDL every 30 days. With this, I was wondering if there is an appropriate modifier we can use to bill for PDL within the global period to get reimbursed by any...
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