tci Part B Insider - 2003 Issue 31

Lesion Excision: Medicare Gives Providers a Break on Lesion Coding

Malignant lesions will still pay more than benign ones For now, at least, dermatologists have succeeded in excising a very malignant change to Medicare reimbursement for lesion excision. For 2004, the Centers for Medicare & Medicaid Services had proposed to pay the same for lesion excisions, whether the lesions were malignant or benign. (See PBI, Vol. 4, No. 19, p. 130.) Providers protested that the stakes (including malpractice costs) were much higher with malignant than benign lesions.  CMS has backed down. In the 2004 Physician Fee Schedule rule, the agency says it will maintain the 2003...

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