Wiki Multiple Procedures...

[sinman0531]

One of my providers was initially performing a malignant excision of an SCC on the patient's shoulder. This SCC also happened to be located on top of a large mass (slightly larger than a softball), which turned out to be a lipoma. Of course, once the excision was done the lipoma started leaking, for lack of a better term, and so the decision was made to perform a benign excision on the same spot. Obviously, the provider wants to get paid for both, so I just want to make sure I am coding this correctly.....

11602-51
11403-51
13152
13153


Would I want to apply a -52 to the 11602? Or apply a -22 to 11403? OR, because they were both technically complete services with their own reimbursement codes, do I just keep it at the -51?

Thanks in advance!

 

[Deborah Marsh]

Hi - I found a similar question in an old thread - https://www.aapc.com/discuss/threads/excision-of-2-lesions-in-one-incision.117834/

That thread is fairly old, but perhaps you'll find more info on the dermatology or general surgery forums. Good luck!