Wiki Help With Coding Exc of Skin lesion with Full Thickness skin graft & Layered closure

[Hopp]

Help With Coding Exc of Skin lesion with Full Thickness skin graft & Layered closure

Hi everyone! Just wondering if its appropriate to use the following codes:
Excision of 3 Cm Leison Squamous cell ca of lt hand CPT 11623
with 8 cm layered closure CPT 12044 with 59
and Full Thickness skin graft 15240 (or does the skin graft cover the closure as well)
Thanks in advance for any help with theis matter. DH, CPC

 

[ellzeycoding]

The graft includes closure.

 

[apagano1]

I'm getting denials for my excision of lesion and then doing a full thickness skin graft. I used mod 59 to separate both codes. they will either pay for the excision or the graft not both.