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Whichi modifiers on lesion removals

  1. Default Whichi modifiers on lesion removals
    Medical Coding Books
    I have four lesion removals I billed to Medicare as follows:

    11404
    11302 59
    11301 59
    17000 59

    The adjusted off 11404, and paid on the other three. I called to get help and they told me a modifier was needed, but that they couldn't help determine which modifier. My coworkers and I don't know what would be appropriate here. PLEASE HELP!!!

  2. #2
    Location
    Evansville Indiana
    Posts
    451
    Default modifiers
    If you check the CCI edit it will tell you which codes to put the modifiers on . In the scenario that you had, it should be billed as 17000, 1140459, 1130259, 1130159.

    LeeAnn

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