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27618 Question.

  1. Default 27618 Question.
    Medical Coding Books
    Doc performs an excision of three separate soft tissue lesions. Each incision was carried down to the sub q.

    I am able to bill 27618 X3 or just once?

    Any suggestions?

  2. Default
    It appears that coding 27618 x 3 would be appropriate as what is described includes; 3 separate lesions & 3 separate incisions.

    Both CPT and Medicare's definition for the appropriate use of modifier -59 include separate incision/excisions, separate lesion as criteria for use of the modifier.

    In addition the code descriptor indicates
    27618 Excision, tumor, leg or ankle area; subcutaneous tissue

    as opposed to tumor(s).

    See CMS "Modifier 59 Article:Proper Usage Regarding Distinct Procedural Service

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  3. Default
    It does. I didn't pay too much attention to the verbage but you are correct.

  4. #4
    careful..if the incision was just "down to" the subq you may be looking at integ codes rather than 27618. To qualify for 27618, the incision needs to go "into/through" the subq. Minor technicallity
    Mary, CPC, CANPC, COSC

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