Results 1 to 4 of 4

Thread: Excision of multiple lesions

  1. #1
    Join Date
    Apr 2007
    Location
    arkansas
    Posts
    600

    Default Excision of multiple lesions

    Promo: Code Books
    Ok, here is an example. A patient comes in with multiple lesions on the leg and back. Two lesions from the back are removed first, one is 1.0 cm and the other is 2.0 cm, the wound is closed with two layers. Two additional lesions are removed from the legs, one is 1.0 and the other is 2.0, the wound is closed with two layers. Here is what i come up with 11401, 11402, 11401, 11402, and 12032. I was told to code all the repairs seperately but according to the CPT guidelines you are to add them. Can someone please clarify as to how they are coding this and why ?

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,168

    Default

    you code each lesion separate and use the 59 modifier to separate them and code only one repair code of the same type in the same region. so you have a total of 4 lesions and 1 repair
    11402
    11402 59
    11401 59
    11401 59
    12032 (might need a 59 on this as well check the edits)

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Location
    arkansas
    Posts
    600

    Default

    That's what i thought but someone told me that you don't code that way for the facility side. I worked for the physician's side and thought that's how we were doing it but when i spoke with the coder there she said no she codes each repair on it's on to show it has been done, i explained to her that by doing this they would pay the wrong one and you'd be missing out on money but she said she was told to do it this way and the hospital coder agrees.

  4. #4
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,168

    Default

    I am sorry to disagree with them but I code for the facility inpatient and outpatient as well as the provider and all are done the same way. It has been this way since the early 80s so it is not a new ruling and there is not a new ruling that overides this. So I will have to disagree with them.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Multiple repairs with different lesions
    By stogsmom3 in forum Dermatology
    Replies: 2
    Last Post: 02-03-2015, 04:55 PM
  2. Multiple Procdures on Different Lesions
    By C04162 in forum Dermatology
    Replies: 2
    Last Post: 09-29-2014, 12:56 PM
  3. Multiple lesions
    By Lorisvg in forum Dermatology
    Replies: 2
    Last Post: 06-21-2013, 11:02 AM
  4. Multiple lesions 7 arm 13 on other
    By ASC CODER in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 03-17-2010, 09:24 AM
  5. Coding Multiple Lesions
    By TiffanyNH in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 09-30-2009, 07:35 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?

Login

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.