decisionhealth Newsletters, Part B News - 2007 Issue 12 (December)
What dermatologists can expect from new Mohs rule
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Article Overview
This article explains a 2008 physician fee schedule change that affects dermatology practices performing Mohs micrographic surgery. It covers the general impact of the multiple procedure payment reduction policy, how the change relates to CPT editorial updates, and broad billing considerations for same-day procedures and related repairs. The piece is useful for dermatology coders, billers, and practice managers who need to understand how the rule may affect claims processing and reimbursement planning.
Why This Topic Matters
The rule change can materially affect reimbursement for commonly performed dermatologic procedures and may influence how practices document and submit claims.
Article Sections
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Coding
This section introduces the Mohs surgery code family and explains the general distinction between base and add-on services. It discusses how the payment change relates to procedure grouping and reimbursement handling.
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Billing
This section addresses same-day billing issues involving Mohs procedures and related repairs. It also covers broad claim-processing considerations when multiple procedures are performed during the same operative session.
What You Will Learn
- How a physician fee schedule change affects dermatology reimbursement
- The broad relationship between Mohs surgery and multiple procedure payment reduction
- General billing considerations for same-day procedures and related repairs
- Why coding and claim submission practices may need to be reviewed for Mohs cases
Who Should Read This
- Dermatologists
- Medical coders
- Medical billers
- Dermatology practice managers
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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