tci Part B Insider - 2009 Issue 33

PART B CODING COACH: Play the Lesion Excision Waiting Game Unless Carrier Directs You Otherwise

Pathology report can unlock $57 more for 11620 if it justifies using the malignancy code. If recent guidance made you question the MO of waiting for the path report, rest assured you can continue to delay assigning the benign or malignant lesion removal until you have the definitive diagnosis. A new local coverage determination (LCD) related article "indicated  that providers are to bill lesion removals based on what is known at the time of excision, regardless of what the pathology report shows," points out Heather Winters, CPC, at United Cerebral Palsy Association of the North Country in Malone...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.