tci ED Coding & Reimbursement Alert - 2009 Issue 3

Get Pre-Removal Measurement to Maximize Excision Claims

Malignant lesion excisions reimburse at a higher rate than benign ones. If you code lesion excision incorrectly, you could lose rightful reimbursement -- a minimum of about $33 per excision -- or you might accidentally mislabel a patient. Encourage your physician to measure lesions before removing them, or more deserved money could fly out the door. Read on for some expert advice on how to prevent either problem from occurring on your excision claims. No Pathology Report? Let Physician Make the Call The correct code for your physician's lesion removals depends on the lesion's pathology. So experts strongly recommend...

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