Pilar Cyst Excision

Staykey

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Conroe, TX
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We had a pt that came in for removal of 2 pilar cysts on the scalp. One was located on the mid-frontal scalp & the other on the right central parietal scalp. We billed BCBSTX 11421-59, 11422, 12031 & 13120. Ins denied the 11421 for incorrect modifier. Any idea why they would deny that code with the 59 mod? TIA!!
 

dkb6126

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They may be denying it because it is not needed. None of these codes look like they bundle. Each excision should be coded separately, and they only need a modifier if you bill the same cpt more than once.
 

Staykey

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Conroe, TX
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They may be denying it because it is not needed. None of these codes look like they bundle. Each excision should be coded separately, and they only need a modifier if you bill the same cpt more than once.
Thank you. When you said that I was like, you know this! LOL Today has been a day, but thank you very much!!
 
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