ICD 10

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5
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Lafayette, TN
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0
please advice , what is the correct CPT code for excision of NON-PRESSURE CHRONIC ULCER OF SKIN OF SITES W UNSP SEVERITY, I billed the CPT code 11423 to Medicare was denied for 'medical necessity'
 

thomas7331

True Blue
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3,869
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Excisions are not the usual treatment for an ulcer, which is likely why Medicare has denied this. But in order to validate your coding or advise on a CPT or diagnosis code, we'd to see the operative report for the procedure.
 

kathleeng

Guru
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113
Location
Fresno, CA
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0
Ulcer DX codes aren't on the 11423 LCD for Medicare. I would look into 11042-11047 as they include removal of chronic ulcers. I'm not sure if it exactly fits your circumstance but it's worth researching into. Excision of pressure ulcers is 15920-15999.
 
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