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mod 59 with 11057

  1. Unhappy mod 59 with 11057
    Medical Coding Books
    I'm new to everything just finished school and was blessed to get a job with a podiatrist.
    The Dr is old school and does his on coding. He codes 11057 ( paring or cutting of more than 4 lesions) he will code 11057 59 RT and 11057 59 LT. And they are systemic diabetics. The problem is one will always be denied as a duplicate claim. My question is should he be coding 11057 59 RT on the frist and 11057 LT on the second? Will someone please help?

  2. #2
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    North Carolina
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    11057 should only be reported once. The description, 4 or more lesions, captures 4 + lesions...

  3. Question
    Quote Originally Posted by RebeccaWoodward* View Post
    11057 should only be reported once. The description, 4 or more lesions, captures 4 + lesions...
    Thank you I do see that, but the second 11057 code has different diagnosis. Will that make a difference? again thank you.

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    No. It won't make a difference. You would post 11057 one time with both dx's. I have something I can fax you in the event your provider wants this in writing. Just let me know...

  5. Smile
    Quote Originally Posted by RebeccaWoodward* View Post
    No. It won't make a difference. You would post 11057 one time with both dx's. I have something I can fax you in the event your provider wants this in writing. Just let me know...
    yes, it will help a lot. He can be a little headstrong at times and it doesn't help that I do not have much on the job experience. But he is slowly starting to come around
    Thank you again for your help. I'm very glade that we have a place to go where we can ask questions and get the right answers Our fax number is 931-388-4314

  6. #6
    Location
    North Carolina
    Posts
    3,126
    Default
    Faxed

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