Results 1 to 3 of 3

MOH's Question

  1. #1
    Default MOH's Question
    Exam Training Packages
    Can you tell me if you can bill multiple units of 17313?

    I have a provider who billed 17313 x 4, 17314 x 2, 15400 x 1, 11100 and 11101 x 3

    He documented MOH's superior right ankle 1.7 initial size and 2.1 final size - he documented Stage I - the tumor 1.7 was debulked and the peripheral and deep margins excised.... tissue was divided into two specimens, color coded,and mapped. sections were frozen, cut and stained by the MOH's technican. Microscopic exam of the tissue revealed tumor persisting in none of the specimens. Separate note for the xenograft

    MOH"s on the right inferior ankle - 1.7 initial and 2.5 final size. he documented Stage I - the tumor 1.7 was debulked and the peripheral and deep margins excised.... tissue was divided into one specimen, color coded,and mapped. sections were froze, cut and stained by the MOH's technican. Microscopic exam of the tissue revealed tumor persisting in one of the specimens. STAGE II - pt returned to operative suite and another specimen was taken frozen.....Separate note for the xenograft

    MOH's right posterior calf - four specimens for stage I and then one specimen for stage II

    Can you help us identify how to code the MOH"s procedures and units?

    please e-mail me directly at: ssulzberger@ccipro.net
    Shellie Sulzberger, LPN, CPC
    Coding & Compliance Initiatives, Inc.

    website: www.ccipro.net

  2. #2
    Location
    Columbia, MO
    Posts
    12,570
    Default
    you should not bill these codes with units. It looks as though you have 3 first stage and two second stage MOHs neither with more than 5 tissue blocks. The MOHs is coded as a 17313, 17313 59, 17313 59, 17314, 17314 59 each with only 1 unit. I cannot advise on the xenograft as the note is not here and I see no documentation to support the 11100 or the 11101 codes.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    The only difference I would make from the above reply is I would code the 17314 in units (2), as it is an add-on code. We've been successful with Medicare and commercial payers alike submitting the codes like this:

    17313
    17313-59
    17313-59
    17314 x 2

    Best,

    Katie Hanninen, CPC, CPCD

Similar Threads

  1. Post Moh's Surgery
    By coderlady in forum General Surgery
    Replies: 3
    Last Post: 10-26-2010, 12:44 PM
  2. Please help with Dx for Moh's
    By bella2 in forum Diagnosis Coding
    Replies: 2
    Last Post: 11-12-2009, 11:36 AM
  3. Help w/ coding this moh's procedure
    By msmurdaugh in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 09-03-2009, 09:41 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?

Login

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.