tci General Surgery Coding Alert - 2010 Issue 6

Reader Questions: You'll Get Mixed Signals on Complex Closure With Soft Tissue Tumor

Question: Based on the CPT description and notes, it appears that the new soft tissue tumor excision codes don't include complex closure. Our computer billing program, however, will not let us report any complex closure codes with any soft tissue tumor excision codes. Should we be billing the complex closure in addition to the tumor excision codes using modifier 59?Pennsylvania SubscriberAnswer: Although CPT states that you can bill for complex closure (13100-13160) in addition to the soft tissue tumor codes added in 2010, Medicare has stated that the excision/resection codes include simple, intermediate, and complex repairs. That means...

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