Wiki MOHS and closure

[andersont]

I am new to derm billing. Is a simple closure included in MOHS? Thanks

 

[ddewees]

MOH's closure

Normally the defect resulting from the procedure requires more than a simple closure. But to answer your question a simple closure is included in the procedure.

Hope this helps.

 

[andersont]

That's what I thought. Is there a website where it covers what is included in MOHS?

Thanks

 

[CatchTheWind]

I am not aware of any website per se, but your Medicare Contractor probably has an LCD. (Here in Florida there is both a current LCD and a proposed LCD!)

Also, the CPT book has some good information, both within the code description and at the heading of the section.

And I just saw something REALLY INTERESTING there. I also assumed that simple repair is included in Mohs (since it's included in excisions), but according to the CPT book, IT IS NOT INCLUDED.

 

[AprilSueMadison]

CatchTheWind,

Where did you find a draft version? Thank you!

 

[CatchTheWind]

It is draft #DL28932 on this page: http://www.cms.gov/medicare-coverag...aspx?name=195*1&bc=AQAAAgAAAAAA&#ResultAnchor

 

[andersont]

CPT states "if repair is performed, use separate repair". Doesn't indicate simple or complex.

 

[CatchTheWind]

That's because it doesn't matter what kind of closure it is; no matter what type it is, it is separately billable.