Wiki Coding multiple biopsies

kewing

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Sauk City, WI
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On a Medicare patient, our doctor biopsied a facial lesion, then suspecting it was malignant, performed electrocautery destruction on the portion of the lesion remaining. He also biopsied a lesion on the patient's back during the same visit. The encounter was coded as follows:
CPT 17281-59 dx 173.3 paid
CPT 11100-59 dx 173.3 paid
CPT 11100-59 dx 173.5 denied
The provider services rep has informed me that -59 is not appropriatly used with CPT 11100 and that I should find a different modifier. :confused: Does anyone have any suggestions?
Thanks much.
Karen
 
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