Results 1 to 6 of 6

Billing 9 -Pre-malignant lesions It is timing ???

  1. Default Billing 9 -Pre-malignant lesions It is timing ???
    Medical Coding Books
    My Question is Do I have to use UNITS in the CMS-1500 when I Bill 9 Pre-malignant lesion.

  2. #2
    Columbia, MO
    what procedure did you perform, and how do you think it should be billed.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default Sorry !
    I mean destruction of 9 premalignant lesion, do I have to Time or Not, and another question is In the CMS Do I have to use Units =9 ?

  4. #4
    Columbia, MO
    These are not timed procedures you may be confused with the physician "time out" that he is now required to document prior to performing an office procedure. I do not use units when billing surgical procedure as these do not come in quantities. the 17000 is first lesion, 17003 is 2-14 each which is not a quantity, and it states to list separately. I have had several offices convert from billing units to the way I do it and each one has confirmed higher reimbursement my way so having said that I would do
    17003 59
    17003 59
    17003 59
    17003 59
    17003 59
    17003 59
    17003 59
    This wil require a 2 page claim.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    No modifier 59 is needed with add-on codes

    17003 x 8

  6. Exclamation Coding/Billing Manager
    Debra's billing would be correct. Use 17000 and 17003 for each additonal lesion. Add-on 17003 list second through 14 lesions with notes to list separately. Since CMS and Cahaba made the reference to modifier 59, I have had to re-bill some add on codes with the modifier 59. It's been hard keeping up with who now requires 59 and who doesn't. If your carrier denies 17000 with 17003 do a corrected claim adding 59 to each 17003. You do not use units since the add-on is for second thru 14 lesion.
    Last edited by vlwinfrey; 05-17-2010 at 09:29 AM. Reason: Error

Similar Threads

  1. Destructions of Malignant Lesions
    By Wendy Miller in forum Dermatology
    Replies: 9
    Last Post: 10-23-2013, 03:12 PM
  2. Destruction, malignant lesions
    By in forum Dermatology
    Replies: 1
    Last Post: 10-06-2011, 12:05 PM
  3. Excision Malignant Lesions
    By in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 09-27-2010, 01:40 PM
  4. Electrodessication malignant lesions
    By SALYER in forum Dermatology
    Replies: 2
    Last Post: 03-21-2009, 11:08 AM
  5. Excision lesions benign/malignant
    By Hopp in forum General Surgery
    Replies: 4
    Last Post: 04-12-2008, 12:10 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.