tci ED Coding & Reimbursement Alert - 2000 Issue 10

You Be the Coder: Perineal Tumor

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.Question: A patient presents with a 10-centimeter perineal tumor. He is scheduled for excision of the tumor as an outpatient. The 10000 codes do not pay enough to substantiate the size and difficulty of this tumor. What CPT code(s) should be used? What ICD-9 code can I use to support higher reimbursement?Pennsylvania SubscriberAnswer: It is unfortunate when the actual procedures performed do not have a precise CPT description. In this situation, you are faced with the excision codes...

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