Wiki DERMATOLOGY BILLING

LMOuellette

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Hello and good morning, I am new to Derm billing and I have a claim that I entered into Encoder Pro to check errors. I don't understand this error and am asking if someone can explain this?

The surgical procedure code 11102 should be reviewed for a possible percentage reduction of 50% since its relative weight is lower than the procedure code 17110 found on historical claim ID 31627787 on claim line 90064729. If a multiple procedure codes contains units, the units should cause a reduction. However, if only one MPR eligible procedure code is billed with units, the first unit is allowed at 100% and each add'l unit should cause a reduction.

I have this error on two of my line items. Can someone please help.

Thank you.
 
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