bmuniz@rmcl.org
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Hi!
I am fairly new to billing and wondering if it is ethical to bill an office visit when a patient comes in solely for destruction of benign lesions, 17110 or 17111. Scenario: Patient comes in as a fu for COPD. During the visit a decision regarding benign lesions that are bothering patient came up. The decision is made that destruction of 6 benign lesions be removed in a week. We get a prior authorization for CPT Code 17110 from their commercial insurance. The patient comes back for the destruction. Do we bill an E & M code along with 17110 or just 17110? We know the E&M will be an adjustment but are concerned that it may not be ethical for it to appear on the claim at all.
Thank you for your help!
Brenda
I am fairly new to billing and wondering if it is ethical to bill an office visit when a patient comes in solely for destruction of benign lesions, 17110 or 17111. Scenario: Patient comes in as a fu for COPD. During the visit a decision regarding benign lesions that are bothering patient came up. The decision is made that destruction of 6 benign lesions be removed in a week. We get a prior authorization for CPT Code 17110 from their commercial insurance. The patient comes back for the destruction. Do we bill an E & M code along with 17110 or just 17110? We know the E&M will be an adjustment but are concerned that it may not be ethical for it to appear on the claim at all.
Thank you for your help!
Brenda