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Thread: Re-excisions

  1. #1

    Default Re-excisions

    AAPC: Back to School
    A biopsy was done and showed invasive basal cell carcinoma with involvement of the deep margin. When the patient came back in for a re-
    excision the path report states 1)features consisitent with previous biopsy site; 2) no evidence of residual basal cell carcinoma. How do I code this?
    Thanks so much.

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    you still use the dx code of BCC. The procedure (11600-11646 depending) code would need a modifier .58 on it for the re-excision if it's performed during the global period of the other excision. (thankfully, it's gone now - guess they got it all the second time!)

    oh, and you can code the repair code also, IF it's an intermediate or complex repair.
    Last edited by dmaec; 07-16-2008 at 06:41 PM.
    Donna, CPC, CPC-H

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