tci Outpatient Facility Coding Alert - 2014 Issue 11

Reader Question: Find Out if You Need a Modifier for Malignant Neoplasm Procedures

Question: I submitted a claim for 14040 and 17311 with diagnosis 173.3. Should I have applied a modifier? Hawaii Subscriber Answer: You don’t need to use a modifier for 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; defect 10 sq cm or less) and the Mohs code 17311 (Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain[s] [e.g., hematoxylin and eosin, toluidine blue], head, neck...

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