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Thread: 26116 and 14040

  1. #1

    Question 26116 and 14040

    AAPC: Back to School
    I have an OR report that states:

    the lession was excised through the skin and subcutaneous tissue. After this was marked in the distal portion, it was palpated deep that there were even further masses in the deep subcutaneous spaces: these were enucleated in total down through the fascia and intramuscular septum. A rhomboid flap was elevated and inset into position.

    Can I bill 26116 and 14040 since it was all done with one incision. I have not been able to find an edit. This is a medicare patient.

    Thank you for your advice.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Documentation lacking

    You are right, there are no global edits for these two codes ... but I hope you have more documentation than what you have posted here. You should have size of lesion, size of flap, etc ...

    F Tessa Bartels, CPC, CEMC

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