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Wiki Mohs surgery

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bslynch14

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Waynesboro, VA
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If a patient has Mohs surgery for for two different spots one on the face and one on the neck can you bill 17311 twice for both spots? I have an insurance company denying stating maximum units paid, they paid one but not the other. thanks.
 
This should be coded as

17311 (Face)
17311-59 (Neck)

The -59 shows that there was a different site, You really cant bill units (17311x2) unless its a payer specific Guidleine
 
possible incorrect denial

I work for a Mohs surgeon and we do get this issue. Most of the time it is a medical records request denial and they have just denied it incorrectly. I usually submit the original biopsy showing the different locations as well as the surgical reports and the repair. I've only had one come back in the 7 yrs I've been doing this that didn't pay for it. Their policy was "one procedure per day" period. I have since learned to ask specific questions when verifying insurance benefits.
 
I am curious, what questions do you ask when verifying benefits? I have come from Cardio so Derm is very new for me. I am now with a Moh's surgeon and feel a bit lost when it comes to what I need to be using or saying. Thanks.
 
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