tci General Surgery Coding Alert - 2009 Issue 12

Reader Questions: Stick With 11600 for Repeat Excision

Question: My doctor removed a malignant mole last week, which I reported with 11600. The patient is returning for the same area to be excised larger. Is there another code, or will I use 11600 again? Louisiana Subscriber Answer: You should use 11600 (Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less) again, assuming that the reason the re-excision is being performed is because the margins were not clear and not because of some issue related to the scar or repair. Mind your modifiers: If the surgeon performs the second procedure in...

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