AAPC - Back to school
Results 1 to 5 of 5

Thread: Excision lesions benign/malignant

  1. #1

    Default Excision lesions benign/malignant

    AAPC: Back to School
    When coding excision lesions benign/malignant with a layered closure do I need to append the layered closure with a modifier as I have been getting denials from Medicare and was told that I did need the modifier and that there are 4 that I would be able to use 58 being one of them. Is that true? Thanks

  2. #2


    It sounds like you're talking about doing the layered closure at the same time as the lesion excision, and in that case, I don't know why they would be wanting a -58, which is for use when the second procedure is performed in the post-op period of the first, ie on a different date. The only modifier that would generally apply on the same date, same lesion, is the -51. I think I would call them again and see if you get a different answer!
    Connie Martin CPC-GENSG

  3. #3
    Join Date
    Apr 2007
    St. Louis, Missouri


    I bill excision of lesions with layered closures. I don't use a modifier and I have no trouble getting paid. I would call them again.

    Melissa Blow, CPC

  4. #4


    I bill a lot of lesion removals. If you are removing more than one lesion from the same anatomical site you must report each removal separately. The insurance company will deny the second, third or fourth code as duplicate service. You will need to append a 59 modifier to the second etc code in that site. Your layered closure code would not be affected since you add the lengths for each group of anatomic sites. Example: 11402, 11402-59, 11402-59 and 12032 would be your codes for three benign lesions removed from the trunk
    (1.1-2.0cm) with intermediate layered closure totaling 6cm.
    Last edited by bamiller; 04-11-2008 at 12:09 PM.

  5. #5
    Join Date
    Apr 2007
    Chicopee, MA


    Exactly what two codes did you bill together?

Similar Threads

  1. Replies: 2
    Last Post: 10-04-2014, 12:12 AM
  2. Excision of benign lesions
    By barbsteele27@yahoo.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-14-2014, 05:13 AM
  3. Excision of benign lesions
    By ekreich@suddenlink.net in forum Dermatology
    Replies: 9
    Last Post: 05-07-2014, 12:36 PM
  4. Excision Malignant Lesions
    By shypes1953@yahoo.com in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 09-27-2010, 01:40 PM
  5. Excision of benign and malignant lesions
    By Trendale in forum General Surgery
    Replies: 1
    Last Post: 06-17-2008, 03:18 PM

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.