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Biller - ak destruction

  1. Default Biller - ak destruction
    Medical Coding Books
    I am billing an office visit 2 destructions and an ak destruction, the billing software says to bill it as follows
    99213 25
    17263 59
    17263 59 76
    17000
    i don't agree with this. Can anyone tell me if this is right.
    Tjones

  2. #2
    Location
    Dover Seacoast New Hampshire
    Posts
    2,028
    Default
    Ah. Billing software. Gotta love it.

    I'm not sure if your documentation supports the E&M; these are minor procedures, and typically the E&M is bundled in, whether it's a new problem or not. That would be my first thought.

    17000 and 17263 can be reported together with the -59, the additional 17263 would not be reported with the -76; that's a code used to report a repeat procedure, not an additional one at the same setting. For example, if you did an EKG, and then later that day did another one. I'm assuming that the lesion is a separate lesion or separate site, within the same anatomical location.

    I'd code 99213-25 (if appropriate)
    17263
    17263-59
    17000-59

    17263 has a higher RVU value, so you don't want to report the 17000 first.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

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