tci General Surgery Coding Alert - 2003 Issue 6

READER QUESTION: Report NP Work for Surgical Assist

Question: Two providers (one a surgeon and the other a nurse practitioner [NP]) worked together to remove a patients lesion. Because the NP usually does not do stitches, the surgeon was there to instruct him. They both turned in a charge ticket for 11403. Which provider should I bill under? Missouri SubscriberAnswer: If your NP provided the majority of the work for the surgical procedure (removing the lesion and stitching the wound under the surgeons guidance), you could file the claim for 11403 (Excision, benign lesion including margins, except skin tag [unless listed elsewhere], trunk, arms or legs; lesion...

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