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Thread: Eve

  1. #1
    Join Date
    Apr 2007

    Default Eve

    AAPC: Back to School
    One of our Docs excised a 12 cm cyst on the back. Do I code this as 11406 X3 with a modifier 22?

  2. #2
    Join Date
    Apr 2007
    north seattle wa


    11406 is for over 4.0 cm so you would only report it once. You would only append the modifer 22 if the service was unusual or complicated and that would have to be clearly stated in the notes.
    I would look at the notes and see fi there was a layered, intermediate or complex closure of the defect created by the excision. That would be seperately reportable with a repair code or a reconstructive closure code.

  3. #3
    Join Date
    Apr 2007

    Default Eve

    Thanks! If I had read the description of the code closer I would have seen that duhhh. Boy do I feel like a pinhead.

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