• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Coding Lesion Removal

Create Wiki
K

kathy a

Guest
Messages
135
Location
Elizabethtown, PA
Best answers
0
Is there a decision tree for Lesion Removal ? My doctor does Lesion Removals. He mainly uses CPT # 67810 or # 67840. When the biopsy is more than superficial my note says to use # 67810 . When the entire lesion is removed use #67840. This code involves lid margin, tarsus and palpebral conjunctiva. For the # 67840 he will state full thickness through the dermis for the removal of the lesion. The issue I have is the pathologist may state Excision of Skin which makes me think it should be the codes from the Integumentary System-11102-11107,11440-11446 ? How do I know what codes should be used ?
 
Hello, I am not an expert and still learning this specialty. I would bill what is documented in the Op note: size, depth, margins etc, so we, coders, can get the best descriptive CPT. If you have time, you can bring this discrepancy to MD, so he/she can speak to pathology team to improve the documentation. Again, I am not an expert. Good luck to both of us! :)
 
You must log in or register to reply here.
Top