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  1. #1
    Default Eve
    Medical Coding Books
    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
    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
    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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