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Mohs and multiple surg. reduction

  1. #1
    Default Mohs and multiple surg. reduction
    Medical Coding Books
    does multiple surgical reduction apply when Mohs surgery and repair are done on the same day, same patient, same practice (tax ID), but different surgeons? Surgeon A does Mohs and Surgeon B does repair.

  2. #2
    Milwaukee WI
    Default Same specialty or different specialty?
    If they are of the same specialty, they are considered one doctor for payment purposes.

    If they are of different specialties, there shouldn't be a multiple surgery reduction. HOWEVER, some payers do not recognize this and will apply the reduction.

    The purpose of the reduction is to account for the fact that a surgeon will not perform separate pre- and post-operative care for the additional procedures performed. However, if both surgeons will be independently providing pre- and post-op care (for the respective procedures performed), then you should appeal with full documentation (not just op note but clinic/office visits as well).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    yes, thanks for the responding. they are both dermatologists. my doctor isn't too happy though which i can't really blame him since the repair surgeon did the original biopsy (pre and post op care) and referred the pt for Mohs, his repair is reduced for having a lower RVU while the Mohs is allowed at 100%. well, it is what it is.

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