Wiki Derm coding 11300-11303 & 11305-11308

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Help! It's been a long time since I coded lesions. Could someone please tell me if it would EVER be appropriate to charge: 11300-11303 or 11305-11308 twice on the same day with modifier 76 (on the second procedure)?

For example:
11303
11303-76

11308
11308-76

If memory serves me, when adding the lesion size together for the same anatomical site, CPT 11303 and 11308 already indicate: OVER of 2.0 cm. Therefore, it would not be appropriate to code twice and append modifier 76. AM I correct??????

Thanks
 
Modifier 76 would not be appropriate here. 76 is for a procedure that has been repeated in a separate session. When 2 lesions are removed in the same session but different sites you do not add the sizes together you code them separate, and use the 59 modifier when needed.
 
11303 and 11308 are per lesion. So unless your provider is reshaving the same lesion (which I doubt) you would not need the modifer 76. Just 11303x2 and 11308x2 or per insurance requirement for 2 units. I am assuming the patient had two lesions on trunk, arms or legs and two lesions on scalp, neck, hands, feet, genitalia.
 
you should not use units greater than 1 for lesions, you need to list separate with the 59 modifier.
such as:
11308
11308-59
11303-59
11303-59
 
No CCI relationship between 11303 and 11308. Modifier not needed. Depends on insurances. We have some that require multiple units and no modifier. Like I said...its better to check with your payers.
 
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