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Lesion removal - Measurement with margins

  1. #1
    Default Lesion removal - Measurement with margins
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    I need to know how to code this patient was here for to lesion removals

    1- was in the chest breast area path came back benign.. Measurement with margins was 1.5

    2- was in the abdominal area path came back benign measurements with margins was 2.0
    i beleive that the cpt code for 1 is 11402 and cpt code for 2 is 11402

    is would i bill 11402 x2 or 11402, 11402-51 the dx code for both is 216.5..... How do i bill this please help....
    Brenda Amaro, CPC

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Each lesion coded separately
    Each lesion is coded separately. If layered or complex closure was required to close the excisional wound, you may also code that separately.

    List your first lesion code.
    List your second lesion code with -59 modifier
    List your code for closure with -59 modifier (Here you add the total lenth of similar wounds together ... so if both lesions required layered closure and # 1 was 2 cm long and # 2 was 3 cm long you'd have a total lenght of 5 cm)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Columbia, MO
    Posts
    12,558
    Default
    I am going with Tessa on this 100%.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default
    Thank You both very much this really helped... Tessa, Debra..
    Brenda Amaro, CPC

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