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MOHs with permanent section 2nd layer

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pinkfloyd1

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Dermatologist performs a 2 layer MOHs but sends the second specimen for a permanent section and consult by the pathologist. To qualify for a MOHs code, the doc has to be both the surgeon and the pathologist. I've never had this scenario happen in 16 years of coding these. Any ideas?
 
I was wondering how the surgeon bills for the second layer of a MOHs without reading the frozen section slides herself.
 
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