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system edit

I

iryshre@yahoo.com

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6
Location
Rockford, Illinois
good afternoon, i am not used to coding for a plastic surgeon and i have a claim that is not clearing the system edits. he billed for 11602, 12032 and 14020. the system is saying that a qualifying procedure has not been received. does anyone know what this might be?

thank you,

Marie:confused:
 
Read CPT guidelines

Read your CPT guidelines. Tissue rearrangement INCLUDES the lesion removal, which is not coded separately.

If it's totally unrelated - e.g. a different location on the body - then you need a -59 modifier.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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