tci Part B Insider - 2007 Issue 29

Part B Coding Coach: Get the Facts to Boost Your Excision Reimbursement

Are you incorrectly limiting yourself to superficial excisions? Find out!When your physician performs lesion excisions, don't forget that you may be able to access the musculoskeletal (20000-series) codes, or you could seriously undercut your reimbursement for these procedures. Depth Provides a Guide for Best Excision Code When you report an excision procedure, such as a lipoma (fatty tumor) removal, consider reporting either the codes for benign lesion excision (11400-11471) or the codes for musculoskeletal soft-tissue excision.Your code choice depends on the excision's depth and, just as important, the specificity of the physician's documentation, says Jeffrey Weinberg, MD...

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