Lidocaine

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Location
Pensacola, FL
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If our PA used Lidocaine with epi can we charge for them with the excision code? The patient has Medicare.. below is what was done for patient X..

Exams:

SKIN: 8 mm oval shaped flat light brown lesion in area over left upper trapezius.;;

Procedures:
Atypical skin lesion

Procedure Note:
Informed consent obtained in writing. She expresses understanding that a scar may remain after the lesion is removed. Sterile technique is observed.
Benign appearing lesion #1 is a seborrheic keratosis located on left upper trapezius. The method of removal is excision. Anesthesia was obtained with 1 cc of 1% lidocaine with epinephrine. The wound is closed with 3 simple interrupted stitch(es) using 4.0 coated Vicryl. Hemostasis is achieved with application of pressure. The specimen is sent for pathology review.

Thanks
Kristie Stokes, CPC-A
 
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