decisionhealth Newsletters, Part B News - 2007 Issue 2 (February)
Mohs surgeries take hit; use these tips on coding changes
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Article Overview
This article covers updates to Mohs micrographic surgery billing under CPT and Medicare for 2007. It explains the shift from older codes to the revised code structure, discusses how body area and surgical stage affect billing, and notes related claim-processing considerations such as multiple-procedure handling. It is relevant to dermatology coders, billing staff, and practice managers who need to understand the coding changes and their reimbursement impact.
Why This Topic Matters
Mohs surgery coding changed significantly, affecting how claims are built, how procedures are grouped, and how reimbursement is assigned. Understanding the update helps billing teams code accurately and anticipate payment effects.
Article Sections
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Overview of Mohs surgery coding changes
Introduces the coding update and explains that the article focuses on revised billing structure and reimbursement implications for Mohs micrographic surgery.
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Documentation and first-stage billing considerations
Discusses the importance of documenting lesion location and outlines broad billing considerations tied to the initial stage of Mohs surgery.
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Multiple-procedure reduction and claim sequencing
Covers how same-day procedures may affect payment and describes general claim-ordering considerations for related services.
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Additional stages and add-on billing changes
Reviews the revised treatment of subsequent Mohs stages and the associated changes to add-on billing structure.
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2006-2007 Medicare coding crosswalk for Mohs surgeries
Presents a year-to-year comparison of deleted and replacement Mohs coding entries along with associated payment changes.
What You Will Learn
- How the revised Mohs micrographic surgery code structure is organized
- What general documentation issues matter for Mohs billing
- How same-day procedures can affect claim processing
- How subsequent Mohs stages are addressed in the updated coding framework
- What the Medicare crosswalk shows about deleted and replacement entries
Who Should Read This
- Medical coders
- Dermatology billing staff
- Practice managers
- Revenue cycle professionals
- Physician offices
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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