Results 1 to 4 of 4

Pathology Billing

  1. Default Pathology Billing
    Medical Coding Books
    A patient has skin cancer on the arm (ICD9 173.6) is removed once and found benign (ICD9 216.6)...then another portion is removed again and found malignant (ICD9 173.6). Can the ICD9 code for all three charges be 173.6 considering that probably it was just a small portion that was found benign?

    The patient has Department of Labor for insurance because he obtained the skin cancer while working for a government agency and they will only pay for ICD9 code 173.6.


  2. #2
    Columbia, MO
    was this three different lesions or all parts of the same excision? Also how did it start out malignant and then after excision become benign? At least that is how it reads to me.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default Report Notes
    The comment on the report where the benign excision states this:

    The prev biopsy from the right radial wrist is reviewed and shows a superficial invasive squamous cell carcinoma transected along the shave biopsy margin. Therefore the absence of residual tumor in the current specimen is most likely due to the inflammatory and reparative response to the prev biopsy.

  4. #4
    Columbia, MO
    Ah that is not a benign dx, it is just an explanation for why there is no dx of extension, in otherowrds the excision did not go far enough beyond the scar of the previous biopsy. I am guesing then that is why there is then another excision as they want to get an answer as to the extent of the invasion. so it is all 173.6

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. New to pathology billing
    By BMICHAUN in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 01-08-2015, 12:15 PM
  2. New to Pathology Billing
    By jacquirose in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 01-21-2014, 09:00 AM
  3. pathology billing
    By elliebell in forum Billing/Reimbursement
    Replies: 1
    Last Post: 07-20-2011, 12:23 PM
  4. Billing off Pathology. PLEASE help!!
    By l1ttle_0ne in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 05-16-2011, 08:56 PM
  5. pathology consultation billing
    By mannlx in forum Billing/Reimbursement
    Replies: 0
    Last Post: 08-18-2010, 06:39 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?


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.