tci General Surgery Coding Alert - 2023 Issue Q4

Code 4 Scenarios: Check Your Scenario Answers — Modifier(s) and All

See the case examples on page 3. Now that you’ve read the four scenarios on page 3 and tried your hand at coding them, read on to see what our experts identify as correct coding. Pay special attention to how the proper modifier can help ensure proper pay for procedures and evaluation and management (E/M) services performed during a surgical global period. Answer 1: Know When to Use Modifier 58 You should code the initial procedure using 11643 (Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm). Remember that...

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