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14060 - benign lesion removed

  1. Default 14060 - benign lesion removed
    Medical Coding Books
    benign lesion removed from left upper eyelid

    a bilobar rotational flap from the nasal bridge was fashioned with a 15 blade and westcott scissors and this was rotated to fill the medial half of the defect. The flap was elevated and placed into position. Anchoring sutures were made to the deep soft tissue for placement for the lateral half of the wound.

    A 1cm wide advancement flap was fashioned horizontally in the eyelid. Incision was made w/ a 15 blade and the flap was elevated w/ wescott scissors.The flap was advanced medially. Anchoring sutures were placed.

    Dr charged 14060/LT and 14060/51LT. Shouldn't 11640/E1 be billed also for the removal of the lesion?
    Ann Marie CPC
    New Britain, CT

  2. #2
    Tuscaloosa, AL
    I would code 14060, 14060-59 ONLY. This code inclues excision of lesion (paragraph 2, last sentence under Adjacent Tissue Tranfer or Rearrangement). The LT modifiers are not necessary since skin is not left and right, and I chose 59 in place of 51.


  3. Default
    Thank you Jerri, that is what we were thinking also.
    Ann Marie CPC
    New Britain, CT

  4. #4
    Milwaukee WI
    Default Full Thickness?
    If it was full thickness repair of eyelid look at 679xx

    F Tessa Bartels, CPC, CEMC

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