Wiki 17000 for 3 Cycles

[bodnart]

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!

 

[CodingKing]

You would ignore the number of cycles. Its based on number of lesions.

 

[gr8gal61]

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!