tci General Surgery Coding Alert - 2005 Issue 11

Case Study: Clear Away Your Excision Coding Confusion

Append modifier 58 for OR re-excisions during global periodCoding all services involved in a lesion removal can quickly lead you into -gray- areas, such as determining if you should report a separate E/M service when performing minor excisions in the office.Use these three case studies to understand how you should handle confusing lesion coding scenarios. Case Study 1: Referral With Simple Excision A family physician (FP) refers a patient to your general surgeon for excision of a -mole- on the patient's upper left arm. The surgeon suspects that the mole is a small basal cell carcinoma. She performs...

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