• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Multiple Lesion Removal

Create Wiki
S

ssandvig

Guest
Messages
6
Best answers
0
I have 5 lesions that were removed and sent to patholgogy. Left
shoulder, lower mid back, left side of back, left small of back, and
abdomen. They all fall under the CPT according to there size and they all have the same pathology diagnosis so would I use one
CPT code and use quanity of 5?
 
A little more info would be needed before determing a code. what was the diagnosis, and how were the lesions removed, Ex: cryo, or excision? it also depends on the insurance carrier.

I would love to help just need to be a bit more specific :)
 
Last edited:
If you are referring to the lesion excision codes (benign or malignant), my experience has been that they are not billable as units (CPT times 5). I did have luck billing them individually for each lesion with a modifier 59.

CPT Dx
CPT mod 59 Dx
CPT mod 59 Dx
CPT mod 59 Dx

This is providing that the CPT being billed is all the same. If the lesion size is different or location is different warranting a different CPT code than a 51 modifier would be used in place of the 59.
 
You must log in or register to reply here.
Top