tci Part B Insider - 2003 Issue 28

Coverage: Carrier Relents on Mohs Coverage Cutback

Letter-writing campaign works, but other carriers may be recalcitrant If your surgeon is performing  Mohs micrographic surgery (CPT Codes 17304-17310) on patients with lesions on their scalps or necks, you could be in for a nasty shock.   At least two carriers stopped covering MMS for scalp and neck lesions as of June 15. Noridian and Palmetto GBA both removed 173.4 (Other malignant neoplasm of skin; scalp and skin of neck) from the list of covered diagnosis for Mohs last summer, and providers who didn't notice the change have suddenly received an avalanche of denials. Noridian has the...

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