AAPC - Back to school
Results 1 to 2 of 2

Thread: Work Pe With Lesion Removal

  1. #1
    Join Date
    Apr 2007

    Default Work Pe With Lesion Removal

    AAPC: Back to School
    A Patient Came In Today For A Scheduled Lesion Removal. I Will Code It When The Pathology Results Come Back Indicating If It Is Benign Or Malignant. She Also Brought A Form From Her Employer, An Employee Medical Form. It Consisted Of Name, Address, Sex, Blood Pressure, Mantoux Test (which Someone Wrote In On That Line, "not Needed, Received 7/3/07 With 0 Results), And Chest Xray (which Someone Wrote (n/a Unless Md Indicated). There Was A Statement On The Form Preprinted Which Read "i Have Examined The Above Employee And Found No Evidence Of Disease In A Communicable Form. There Is No Evidence Fo Boils Or Infected Wounds. There Is No Evidence Of Any Health Impairments Which Might Pose A Risk To The Residents Of The Adult Home Or Interfere With The Performance Of This Individual's Duties" And A Place For The Doctor To Sign.

    The Employer Will Pay Up To 80.00 For An Employee Physical Including Mantoux, Further Charges For The Date Of Service Are Payable By The Employee. The Patient Is Self Pay With No Insurance.

    Would I Code This As A Lesion Removal Only And Bill The Patient?

    Besides The Form The Employer Provided, I Have A Soap Note With Name, Dob, Allergies, Latex Allergies, Tobacco Use, Immunizations, T, P, Rr, Bp, H, W, C.complaint, No Ros Or Hpi, Examination Of Skin With Size Of Lesion And Description Of Procedure And Excision, Heart - Normal, Assessment: Skin Lesion Back.

    Would I Bill This As A Lesion Removal Only And Bill The Patient? I Do Not Feel That The Examination Justifies A 99455.
    Heather Winters, CPC, CFPC

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    I would bill the lesion removal to the patient (self pay) as you say. I would bill a low level E/M (what documentation supports) with the V70.5 for the "work" part of the visit (filling out forms, brief exam of patient, review of forms) to the Employer. Obviously, this is the form they require for "employee health check".
    Donna, CPC, CPC-H

Similar Threads

  1. Lesion Removal?
    By Nancy R Parent in forum Dermatology
    Replies: 3
    Last Post: 11-16-2015, 10:02 AM
  2. Help with lesion removal please
    By trinalankford in forum Dermatology
    Replies: 6
    Last Post: 03-07-2012, 06:06 AM
  3. Lesion removal
    By paula f3 in forum Outpatient Facilities
    Replies: 11
    Last Post: 06-03-2010, 05:25 PM
  4. Lesion removal
    By paula f3 in forum Outpatient Facilities
    Replies: 1
    Last Post: 02-11-2010, 11:18 AM
  5. Lesion Removal
    By lori85210 in forum Plastic Surgery
    Replies: 3
    Last Post: 06-21-2009, 10:32 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.