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Thread: E/M billing w/proc out of ASC?

  1. #1
    Join Date
    Apr 2007
    Everett WA

    Default E/M billing w/proc out of ASC?

    AAPC: Back to School
    Hi all, first time poster here. I just started at a dermatology clinic and have a question about coding in our ASC.

    What is the proper way to code (or more beneficial way) when the Dr. codes a 99213-25 out of the ASC along with the procedures which are 11602-excision of malignant lesion 1.1-2.0 cm and the repair code of 13101.

    Basically should the Dr. see the patient in clinic and then move to the ASC for repair? Or will the 99213-25 in the ASC be reduced? The ASC is pretty new here so the procedures on billing are pretty green. Any help would be GREATLY appreciate. Thanks so much!

    Jen Verlinda-CPC

  2. #2


    Does that need to be done in the ASC? It's an office visit here.

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    I agree with katerock1. Those procedures are done in the office. Also, if the patient was schedulde for the excision, you can't code the E/M separately.
    Lisa Bledsoe, CPC, CPMA

  4. #4


    right, unless a separate E/M service was provided, not related to the surgery.

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