#### cs72410

##### Contributor

Per the notes I have, there are 3 lesions - one on the

**side**of the eye, and the other

**under**the eye, and the third lesion is on the forehead.

The lesions near the eye are both .5cm and were described simply as "skin lesions rule-out basal cell CA", and the lesion on the forehead is 1cm and is described as "Actinic Keratosis" - per the notes, the sizes included the margin.

The method to remove these lesions was shaving.

Here's how I

*think*

*it should be coded:*

11311, dx 702.0

11310-59, dx 709.9

11310-59, dx 709.9

I feel like I'm missing something, though...the payer may think it was just a mistake of someone putting the 11310-59 twice, when in fact they are 2 diffent lesions...can there be both a modifier 51 & 59 on the same procedure?? Should it be coded like this:

11311, dx 702.0

11310-59, dx 709.9

11310-51-59, dx 709.9

Any help would be greatly appreciated...Thanks!!11311, dx 702.0

11310-59, dx 709.9

11310-59, dx 709.9

I feel like I'm missing something, though...the payer may think it was just a mistake of someone putting the 11310-59 twice, when in fact they are 2 diffent lesions...can there be both a modifier 51 & 59 on the same procedure?? Should it be coded like this:

11311, dx 702.0

11310-59, dx 709.9

11310-51-59, dx 709.9

Any help would be greatly appreciated...Thanks!!