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Multiple lesions on face, different sizes

  1. Default
    Medical Coding Books
    I agree with Debra. I read Inga Elzey all the time and I have not seen anything contradicting Debra's take on this matter. I have coding books from the AAD that are very clear on the subject as well.

    Dee, CPC, CPCD
    Dee
    CPC, CPCO, CPMA, CPCD

  2. Default Quantity
    But how about if the case is, the only diagnosis I have are 706.9 ang 686.09 and they are claiming 11310 x 5? Can we pay all the procedure? Just for your information here in Abu Dhabi, we do not have any modifier. please help.

    thanks!
    Last edited by djmharvin2000; 05-12-2015 at 01:22 AM.

  3. #13
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    Default
    Quote Originally Posted by djmharvin2000 View Post
    But how about if the case is, the only diagnosis I have are 706.9 ang 686.09 and they are claiming 11310 x 5? Can we pay all the procedure? Just for your information here in Abu Dhabi, we do not have any modifier. please help.

    thanks!
    If you are billing for US payers using CPT codes then you do use modifiers. I can assist better with more information, such as whom are billing to and what exactly the note states was removed, and where and by what what method.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    Quote Originally Posted by gayle05 View Post
    Sorry your question really wasn't about the codes but that's the first thing that I noticed. Regarding your question about billing 11310 in units or separately, you can bill as units just make sure when you are reimbursed the allowables are correct. Our practice has billed codes both ways.
    This is confusing- units vs. separately. I am being told both ways. If done by units you add up the size's of all the lesions in one area. Then my manager says that you have to list each lesion separately. Which way is correct?

    Can you e-mail me at nabloma1@memorialhealth.com

    Thank you so much

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