AAPC - Back to school
Results 1 to 2 of 2

Thread: Mohs with final specimen sent to path for staging

  1. #1
    Join Date
    Apr 2007
    Rose City (Portland, Oregon)

    Exclamation Mohs with final specimen sent to path for staging

    AAPC: Back to School
    Scenario: a derm surg performs two stages, in which he acts as the pathologist, but, on the third stage, he submits the specimen to the pathologist for review without reviewing it himself. How do I code this? I'm wondering if I can bill 17311 and 17312 for the first two stages then 116XX for the third and allow the pathologist to bill 88305. Or would we bill 116XX plus 88331 for the derm surg plus 88305?



  2. #2
    Join Date
    Apr 2007
    Fresno Chapter


    I have heard of cases that the provider sends specimens out while doing Moh's but from what I have seen that is a preference of the provider to do that. There would be nothing to bill since the components of Moh's is to have the pathology read during the time of surgery. You would bill the first two stages but then not for that last one. You wouldn't bill a 116xx with it because how would you be able to distinguish if this charge was separate by putting a modifier 59? This wouldn't be a different independent procedure it is still the original Moh's site that you are already billing your first two stages in.
    I hope that this helps.

    Julia Holt CPC, CPCD

Similar Threads

  1. Mohs issue - Path was sent out!
    By aprilsue in forum Dermatology
    Replies: 1
    Last Post: 08-20-2015, 08:20 AM
  2. Mohs Consult Days Before Mohs Surgery
    By LSquared2012 in forum Dermatology
    Replies: 5
    Last Post: 08-21-2014, 09:55 AM
  3. Permaent section path during mohs
    By Texascoder64 in forum Dermatology
    Replies: 2
    Last Post: 07-21-2014, 03:18 PM
  4. *****path and mohs on same day
    By drampas3418 in forum Dermatology
    Replies: 0
    Last Post: 06-19-2014, 11:28 AM
  5. Billing procedure when path specimen is lost
    By SandyToes84 in forum Auditing General Discussion
    Replies: 2
    Last Post: 12-10-2009, 12:59 PM

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.