lesion

  1. G

    Wiki Lesion w/repair

    Need help with a lesion excision w/repair 3 coders each with a different take: Punch biopsy done at previous visit pt came in for lesion excision. As you can see we have all interpreted the guidelines a little differently so we are hoping to get some clarification. Thank you DX C44.91 (A)...
  2. K

    Wiki New Skin Biopsy Codes

    Is anyone else experiencing issues using the new skin biopsy codes (11102, 11104, 11106 etc) for medicare patients? Our MAC, Palmetto, has put the new biopsy codes under their LCD for Removal of Benign and Malignant Skin Lesions. This seems like a bit of an oxymoron. By that I mean, a biopsy...
  3. C

    Wiki coding papular lesion of tongue scissor excision & biopsy

    Hello! I'm a new coder in my first year working for a family physician who regularly performs lesion removals. This is the first time I've coded a lesion on the tongue, which falls into the Digestive not the Integumentary section of the CPT. Documentation shows a scissor removal of 3mm papular...
    • ccr888
    • Thread
    • cpt coding lesion papular scissor excision tongue
    • Replies: 5
    • Forum: Dermatology
  4. B

    Wiki General Anesthesia during Excision

    We have a provider who excised a malignant lesion on the forearm under general anesthesia. The problem is that we cannot find a code to bill the MAC anesthesia under. Does anyone have any advice on this?
  5. T

    Wiki Excision Eye Skin Tag/Lesion

    I am having a dispute with a Dr office on how to code this. I work for an ASC and they are saying these should be coded as 67840 and I think it should be 11200 becasue it specifies skin tag. I am already in hot water for requesting a description for the procedure becasue this is a new DR and...
  6. J

    Wiki ICD-10 Code for recurrent physical trauma of skin

    Our LCD says that benign lesion removals (shaves, excisions, skin tags, destruction) will be covered when the "lesion is in an anatomical region subject to recurrent physical trauma and there is documentation that such trauma has in fact occurred." For example, documentation says, "lesion...
    • jleavit2
    • Thread
    • dermatology lesion recurrent trauma shave skin
    • Replies: 2
    • Forum: Dermatology
  7. J

    Wiki Endobronchial CPT code

    I need a little help in choosing a code. The doctor performed an, excision of left mainstrem endobronchial tumor with snare. The note reads, We were able to get around the base with a snare. We applied 25 walls(?) (maybe joules) of electrocautery and were able to detach the lesion. It was...
  8. L

    Wiki Denial of multiple units of lesion excision (same CPT)

    We've recently started to see denials for excisions (same CPT) on the same claim. For example, 11403 x 3 units. Sometimes 1 unit will pay and other times none will pay with a message that the modifier used is incorrect or missing. We were able to get these paid until now with -76-59 on the...
  9. D

    Wiki eye skin tag/eye skin lesion

    Can anyone review this and tell me what codes you get? The physician wants to use 11200 for procedure 1 and 11440 for procedure 2. The path report shows fibroepithelial polyp for both of these procedures. I would just like to see what others get for these. PREOP DIAGNOSIS:1. lesion on left...
  10. H

    Wiki Single lesion extends from one vessel into another.

    When a single lesion extends from one vessel into another and is treated with a single intervention bridging the two vessels I know you treat with one code. The question here in my office is do you code the vessel where it starts or ends? I have always coded where it starts. Does anyone have...
    • haugen
    • Thread
    • code lesion single starts vessel
    • Replies: 0
    • Forum: Cardiology
  11. E

    Wiki Skin Lesion

    A skin lesion is removed from a patient's cheek in the office. The dr. documents Kin Lesion in the chart. Prior to billing, the pathology returns basal cell carcinoma. What do I code? Skin Lesion or basal cell carcinoma
  12. O

    Wiki New bronch code

    With new bronchoscopy code +31654, how are others defining "peripheral" lesion?
  13. S

    Wiki Removal of benign lesion

    A patient was seen for removal of a benign skin lesion. I billed the insurance with CPT 11443 (excision benign skin lesion of face/ears/eyelids/nose/lips 2.1-3 cm). I received a denial stating a modifier is required for this code. I am unfamiliar with what modifier I am to use. I would really...
  14. S

    Wiki Lesion Measurement

    can you please let me know if we can count the central lesion to our measurement, see below, A tan ellipse of skin is 0.6 x 0.4 x 0.1 cm with a 0.3 x 0.3cm tan-brown central lesion. can the 0.3 x 0.3 be added to the other measurments for a total of 1.7cm.
    • susie09
    • Thread
    • 0.3 central lesion measurement measurments
    • Replies: 2
    • Forum: Dermatology
  15. C

    Wiki attempted & failed stents x3

    I have a cardiac cath case where our physicians performed a left heart cath and attempted to stent the right coronary artery three times but discontinued everytime. They proceeded to follow up with an angioplasty in that right coronary artery instead. I am under the impression if the PTCA was...
  16. M

    Wiki Oral Lesion??

    Doctor gave the dx of "oral lesion" do I need more information to code correctly or is there a code for this?? I was thinking 528.00 but it does not specifically say lesion. :confused:
  17. A

    Wiki Need help with Dx's Code

    Hi, What would be the proper diagnosis code for lesions of the left nose and lower lip? I thought about using 709.9 but am not sure. Thanks. aferris86
  18. A

    Wiki How to code for Lesions in General?

    Hello: I am doing the virtual experience program so that I can remove my A from my CPC. In general, how does one code lesions for ICD-9-CM? The one that I am trying to find is: Lesion of the scalp I looked under lesions (no luck), and I also looked under mass in which there is a code for the...
    • aferris86
    • Thread
    • lesion lump mass scalp virtual experience
    • Replies: 7
    • Forum: Dermatology
  19. M

    Wiki Nerve palsy, sciatic

    724.3 is the code I was looking at because code 355.0 mentions with or without lesions ... ANy imput??:confused:
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