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MOHS Surgery Coding

  1. #1
    Default MOHS Surgery Coding
    Medical Coding Books
    Good morning Coders,

    I have a question regarding MOHS surgery patient has Medicare, had MOHS done to right lateral medial cheek, and Right medial cheek the claim was coded below, Medicare is denying line 8 14040 stating that services already processed for payment line 4 there is 2 different sites any suggestions

    1)17311
    2)17312
    3)17312-59
    4)14040
    5)17311-59
    6)17312-59
    7)17312-59
    8)14040-59

    Thank you,
    TH

  2. #2
    Location
    Jacksonville Florida Chapter
    Posts
    205
    Lightbulb
    I think I see why Medicare doesn't want to pay for the 14040-59. According to the definition for 14040, there is no difference between lateral medial cheek and medial cheek; all it covers is cheeks in general. I really don't think Medicare will pay for the extra 14040 for this reason.
    John Meyer, CPC
    Heekin Clinic

  3. #3
    Default
    Thank you John I asked to appeal the claim along with the medical record.

  4. #4
    Location
    Jacksonville Florida Chapter
    Posts
    205
    Default
    No big. Hope Medicare will reconsider.
    John Meyer, CPC
    Heekin Clinic

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