ivistour99@hotmail.com
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My Question is Do I have to use UNITS in the CMS-1500 when I Bill 9 Pre-malignant lesion.
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Wiki Billing 9 -Pre-malignant lesions It is timing ???
- Thread starter ivistour99@hotmail.com
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mitchellde
True Blue
what procedure did you perform, and how do you think it should be billed.
ivistour99@hotmail.com
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Sorry !
I mean destruction of 9 premalignant lesion, do I have to Time or Not, and another question is In the CMS Do I have to use Units =9 ?
I mean destruction of 9 premalignant lesion, do I have to Time or Not, and another question is In the CMS Do I have to use Units =9 ?
mitchellde
True Blue
These are not timed procedures you may be confused with the physician "time out" that he is now required to document prior to performing an office procedure. I do not use units when billing surgical procedure as these do not come in quantities. the 17000 is first lesion, 17003 is 2-14 each which is not a quantity, and it states to list separately. I have had several offices convert from billing units to the way I do it and each one has confirmed higher reimbursement my way so having said that I would do
17000
17003
17003 59
17003 59
17003 59
17003 59
17003 59
17003 59
17003 59
This wil require a 2 page claim.
17000
17003
17003 59
17003 59
17003 59
17003 59
17003 59
17003 59
17003 59
This wil require a 2 page claim.
snix1
New
No modifier 59 is needed with add-on codes
17000
17003 x 8
17000
17003 x 8
vlwinfrey
New
Coding/Billing Manager
Debra's billing would be correct. Use 17000 and 17003 for each additonal lesion. Add-on 17003 list second through 14 lesions with notes to list separately. Since CMS and Cahaba made the reference to modifier 59, I have had to re-bill some add on codes with the modifier 59. It's been hard keeping up with who now requires 59 and who doesn't. If your carrier denies 17000 with 17003 do a corrected claim adding 59 to each 17003. You do not use units since the add-on is for second thru 14 lesion.
Debra's billing would be correct. Use 17000 and 17003 for each additonal lesion. Add-on 17003 list second through 14 lesions with notes to list separately. Since CMS and Cahaba made the reference to modifier 59, I have had to re-bill some add on codes with the modifier 59. It's been hard keeping up with who now requires 59 and who doesn't. If your carrier denies 17000 with 17003 do a corrected claim adding 59 to each 17003. You do not use units since the add-on is for second thru 14 lesion.
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