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14060 - benign lesion removed

A

ammontagano

Guru
Messages
107
Location
New Hartford, CT
benign lesion removed from left upper eyelid

a bilobar rotational flap from the nasal bridge was fashioned with a 15 blade and westcott scissors and this was rotated to fill the medial half of the defect. The flap was elevated and placed into position. Anchoring sutures were made to the deep soft tissue for placement for the lateral half of the wound.

A 1cm wide advancement flap was fashioned horizontally in the eyelid. Incision was made w/ a 15 blade and the flap was elevated w/ wescott scissors.The flap was advanced medially. Anchoring sutures were placed.

Dr charged 14060/LT and 14060/51LT. Shouldn't 11640/E1 be billed also for the removal of the lesion?
 
I would code 14060, 14060-59 ONLY. This code inclues excision of lesion (paragraph 2, last sentence under Adjacent Tissue Tranfer or Rearrangement). The LT modifiers are not necessary since skin is not left and right, and I chose 59 in place of 51.

Jerri
 
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