AAPC - Back to school
Results 1 to 3 of 3

Thread: Code-A-Round Dermatology

  1. #1

    Question Code-A-Round Dermatology

    AAPC: Back to School
    I am in the process of completing Code-A-rounds for Dermatology. I noticed on Round 2, note 4 there seems to be a discrepancy, I believe. Operation: states intermediate defect closure measuring 15 mm and 14 mm (there are 2 lesions upper back). The CPT code that the Code-A-round completed as correct was 12031 (2.5 cm or less). I believe it is 12032 (2.6cm to 7.5cm). Would you not combine the lengths 15mm (1.5cm) and 14mm (1.4 cm) due to them being in the same anatomical site? If this is true, the correct code would be 12032, because 1.4 and 1.5= 2.9cm. Also.... if there are 2 lesions, would you not need a multiplier/unit of 2? The Code-A-round completed note as correct with just a modifier of 51 on 11401 without the multiplier/units with 2. Please advise. I am confused. Thank you. Cindy Roberts, CPC, CPCD

  2. #2
    Join Date
    Apr 2007


    The repairs to the same site, same classification are added together. So I agree with you on the 12032. No modifier is needed for that.

    For the excisions, you do need a modifier 51 and a "x2" added to the 11402 (not 11401) based on the measurements.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    You code the lesions excisions separately and not with a unit of 2, you should list each one as a 11402, then you add the lengths of the repairs together with just 1 unit.
    11402 unit 1
    11402 59 51 unit 1
    12032 51 unit 1

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. General Surgery code a round, CGSC Round 2 ID#19
    By somerset22 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 09-23-2013, 06:55 AM
  2. ob/gyn code a round round 1 note 4
    By allyson815@gmail.com in forum OB/GYN
    Replies: 5
    Last Post: 08-15-2012, 12:46 PM
  3. AAPC OBGYN code a round, round 1 note 5
    By cyndiann in forum OB/GYN
    Replies: 3
    Last Post: 01-03-2012, 04:45 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.