Wiki Dermatology questions

[jschmidtkarls@comcast.net]

Two questions if there is anyone out there who codes for Derm.that we keep going round and round on.
1.) When coding for MediCare does a code for SCC in situ roll over to a V10.83 after three months of being treated?

2.) When coding for X procedures (like BX or EXCs) on same visit, do you charge post in the order of the PRs and Path report or in the order of the most significant/serious finding?

 

[ajs]

Two questions if there is anyone out there who codes for Derm.that we keep going round and round on.
1.) When coding for MediCare does a code for SCC in situ roll over to a V10.83 after three months of being treated?

2.) When coding for X procedures (like BX or EXCs) on same visit, do you charge post in the order of the PRs and Path report or in the order of the most significant/serious finding?

1) It would become "hx of" once it is no longer being treated, the physician considers it cured.

2) Code in order of highest RVU unless there is a different direction listed on a specific code.