AAPC - Back to school
Results 1 to 3 of 3

Thread: Malignant Removal and layerd closure

  1. #1

    Question Malignant Removal and layerd closure

    AAPC: Back to School
    The doctor I bill for did a malignant removal of a lesion and did a layered lesion. The doctor is billing the following codes: 11603, 12032 -79

    I do not belive that this is the correct modifier, can anyone help. I think maybe a modifier 22.
    Sonja Little, CPC

  2. #2
    Join Date
    Apr 2007
    Columbus GA


    When more than one classification of wounds is repaired, list the more complicated as the primary procedure and the less complicated as the secondary proceure, using the 51 modifier.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Wrong modifier

    I don't know why you would think to use a -22 modifier, unless the documentation showed an unusually difficult or complicated procedure. Please read CPT guidelines for Excision of Malignant Lesions (2009 CPT Professional edition, page 55, second column) The guidelines for removal of benign or malignant lesions specifically tell us to code a layered or complex closure separately.

    Without seeing the operative report I cannot tell if the codes are correct, but they seem to be from the correct sections ... you have an excision code and a wound repair code.

    The codes should be listed with highest RVU first, and the second code should have a -59 modifier.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 10-13-2009 at 02:00 PM.

Similar Threads

  1. Shave removal on malignant lesion
    By cknudsvig in forum Dermatology
    Replies: 3
    Last Post: 05-16-2014, 08:46 AM
  2. malignant lesion removal + closure
    By nc_coder in forum General Surgery
    Replies: 1
    Last Post: 04-22-2014, 09:36 AM
  3. Replies: 1
    Last Post: 09-12-2013, 10:15 AM
  4. Replies: 0
    Last Post: 08-26-2013, 08:52 AM
  5. Shave removal of lesion that comes back malignant
    By grth97 in forum Dermatology
    Replies: 9
    Last Post: 06-08-2012, 10:03 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.