tci ED Coding & Reimbursement Alert - 2010 Issue 2

Modifiers, not Math, Make Multi-Excision Claims Go

Measuring total removal lengths is a no-no ... here's why. Your ED physician removes a pair of benign lesions from the patient's left thigh; you add the repair lengths and code based on those numbers. You've coded correctly ... right? Wrong: Many coders get tripped up by lesion removal codes, which are governed by different rules than lesion excision codes. Get the real lowdown on coding multiple lesion excisions right here, and you'll get it right every time. CPT, Experts Agree: Don't Add Lengths When your physician removes multiple lesions, "code for each individual lesion; this is not like laceration repairs...

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