alp.jeffrey
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I'm actually a urology coder but I need some help from those of you who may do lesion removals more frequently. I surely don't do them. Medicare is denying a claim for frequency. Here's what we billed (not me...a coworker):
11422 x2
11421 x2
11420 x2
dx: L72.3
Here's the note:
Findings: Multiple sebaceous cyst on the order of 5mm to 2cm involving the groins, scrotum and perineum at the junction of the scrotum and perineum.
Procedure: 2 - 15mm cysts were excised with a 12 blade using sharp and blunt dissection from the groin crease. These were closed after irrigating the wound. A 2cm left upper lateral scrotum cyst was excised in similar fashion. This was closed in 2 layers. Similar excisions and closures were performed of the right mid scrotum, left mid to lower scrotum and one at the posterior scrotum near the perineum. A total of 9 cysts were excised.
What say you? Do you agree with the way it's billed? Should we be putting the codes one line at a time with 1 unit or is billing 2 units per code generally acceptable? Thanks to anyone who can help.
11422 x2
11421 x2
11420 x2
dx: L72.3
Here's the note:
Findings: Multiple sebaceous cyst on the order of 5mm to 2cm involving the groins, scrotum and perineum at the junction of the scrotum and perineum.
Procedure: 2 - 15mm cysts were excised with a 12 blade using sharp and blunt dissection from the groin crease. These were closed after irrigating the wound. A 2cm left upper lateral scrotum cyst was excised in similar fashion. This was closed in 2 layers. Similar excisions and closures were performed of the right mid scrotum, left mid to lower scrotum and one at the posterior scrotum near the perineum. A total of 9 cysts were excised.
What say you? Do you agree with the way it's billed? Should we be putting the codes one line at a time with 1 unit or is billing 2 units per code generally acceptable? Thanks to anyone who can help.