Wiki Biller - ak destruction

TJONES

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I am billing an office visit 2 destructions and an ak destruction, the billing software says to bill it as follows
99213 25
17263 59
17263 59 76
17000
i don't agree with this. Can anyone tell me if this is right.
Tjones
 
Ah. Billing software. Gotta love it.

I'm not sure if your documentation supports the E&M; these are minor procedures, and typically the E&M is bundled in, whether it's a new problem or not. That would be my first thought.

17000 and 17263 can be reported together with the -59, the additional 17263 would not be reported with the -76; that's a code used to report a repeat procedure, not an additional one at the same setting. For example, if you did an EKG, and then later that day did another one. I'm assuming that the lesion is a separate lesion or separate site, within the same anatomical location.

I'd code 99213-25 (if appropriate)
17263
17263-59
17000-59

17263 has a higher RVU value, so you don't want to report the 17000 first.
 
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