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Mohs Surgery

  1. #1
    Location
    woodland hills
    Posts
    4
    Default Mohs Surgery
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    Does anyone help me to code mohs surgery until stage IX?

    17311 dx 173.2
    17312 dx 173.2
    17315 x 7 dx 173.2

    i really appreciate and thank you..
    Last edited by v1233s; 05-29-2009 at 07:48 AM.

  2. #2
    Location
    Columbia, MO
    Posts
    12,570
    Default
    I am really unsure of your question and I think you may be confusing stages with tissue blocks. Can you provide some of the note for clarification.
    Note:
    17311 is for 1st STAGE, up to 5 TISSUE BLOCKS
    17312 is for each additional STAGE, up to 5 TISSUE BLOCKS
    17315 is for each additional BLOCK after the first 5 BLOCKS of any STAGE
    So did you have 9 different stages consisting of 5 or less blocks each? then you would have
    17311
    17312
    17312 59
    17312 59
    17312 59
    17312 59
    17312 59
    17312 59
    17312 59
    If you had 1 stage with nine blocks it would be
    17311
    17315
    17315 59
    17315 59
    17315 59
    FYI I never use units with surgical procedures, it is not a good practice and my reimbursments have always been better than those I compare to that do use units.
    I hope this helps!
    Debra Mitchell, MSPH, CPC-H
    Last edited by mitchellde; 05-30-2009 at 09:19 AM. Reason: I left off some codes

  3. #3
    Location
    woodland hills
    Posts
    4
    Default
    thank you so much for your advice that's really help me ..

    there are 9 stage consisting of 5 or less blocks each and frozen biopsy while surgery.. that's found bcc..

    17311 x 2 59
    17312 x 8 59
    11100 59
    88331

    or

    17311 59
    17311
    17312
    17312 59
    17312 59
    17312 59
    17312 59
    17312 59
    17312 59
    17312 59
    11100 59
    88331

    thank you for your advice..

  4. #4
    Location
    Columbia, MO
    Posts
    12,570
    Default
    No problem but you may have a typo, I would do the second example except delete the very first line (17311 59). The 17311 is the first stage and the 17312 is for each additional so when you get done you should have a total of 9 line items for each of the 9 stages plus then the bx and the path.

  5. #5
    Location
    woodland hills
    Posts
    4
    Default
    Thank you, This is really helpful.

  6. Default
    You shouldn't need modifer -59 on 17312, as it is an add on code and MUST be used with code 17311.

  7. Default Mohs Surgery
    Dr. Alexis completed Mohs surgery on Ralph's left arm. she reported routine stains on all slides, mapping, and color coding of specimens. The procedure was accomplished in three stages with a total of seven blocks in the second stage. How would you report Dr. Alexis' services.

  8. Default 59
    You have to be careful with your over use of the 59 modifier if it can/should be billed in units 17312x? when an insurance company runs your numbers and you put a -59 modifier on everything you can set your practice up for an audit.

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