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ear lesion

  1. Question ear lesion
    Exam Training Packages
    Hello, I am not sure on the coding with the following scenario. Any help would be appreciated.

    The lesion (chondrodermatitis nodularis helicis) of the helical rim was excised in a wedge-like fashion. After hemostasis was obtained bilateral contracutaneous advancement flaps were elevated for coverage.

    I am not sure if you can code 69110 and 14060. Or just 14060 since usually lesion excision is included in that code.
    Thank you for you help.
    Kelly Sumansky, MA, CPC-H, CMC

  2. #2
    Sailfish Chapter
    You should be able to bill 14060 & 69110 (in that order). Each of the procedures should be clearly documented.
    Kathy Brisker, CPC

  3. Default
    Hello, I disagree, 69110 and 14060 should not be billed together; these are 2 separate procedures that both include an excision and repair; after reading your "op note" descriptive, CPT 69110 is your best choice, this is usually a wedge excision with layered closure; your physician advanced the two sides to complete the repair, usually requiring layered sutures. If you read the guidelines for 14060, this includes the excision of lesion and/or repair by adjacent tissue transfer, and it goes on to describe the tissue transfers and rearrangements. I usually utilize this code when the documentation clearly indicates that significant plastic repair has been done with the plasties and flaps as described.

    Hope this helps.

    ENT in CT

  4. Default
    I agree with Jennifer. The excision would be included in the adjacent tissue transfer.


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