17000 for 3 Cycles

bodnart

Guest
Messages
1
Best answers
0
Hi All,

I am new to dermatology billing and would greatly appreciate your input. This Medicare patient comes in for an office visit, skin biopsy, and LN2 x3 cycles to 3 lesions.

Proposed billing 1:
99213 - 25
11100 - 59
17000 - 51
17003 *2

My question is: Do we need to triplicate the units for LN2 because it was done in 3 cycles? If so, is the coding below more appropriate?

Proposed billing 2:
99213 - 25
11100 - 59
17000 - 51
17003 *8

Please help! Thank you!
 

gr8gal61

Guru
Messages
147
Location
Corinth, TX
Best answers
0
Dermatology & Medicare

Typically the bx has an XS modifier or the 59 whichever is pertinent,attached and the LN2, 17000 should not have a 51 modifier. It does not qualify for Medicare.
99213-25
11100 XS/59
17000 1 unit
17003 2 units

Hope this helps


Hi All,

I am new to dermatology billing and would greatly appreciate your input. This Medicare patient comes in for an office visit, skin biopsy, and LN2 x3 cycles to 3 lesions.

Proposed billing 1:
99213 - 25
11100 - 59
17000 - 51
17003 *2

My question is: Do we need to triplicate the units for LN2 because it was done in 3 cycles? If so, is the coding below more appropriate?

Proposed billing 2:
99213 - 25
11100 - 59
17000 - 51
17003 *8

Please help! Thank you!
 
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