tci General Surgery Coding Alert - 2012 Issue 4

Reader Question: Too Small for Intermediate Closure

Question: I'm aware of a "rule" regarding lesion excision and closure charges that I am quite sure I've seen in writing, but I can't find it in CPT®. The rule is that if the size of a lesion is 0.5 cm or less, we cannot also charge for an intermediate repair code. Is that true, and if so, where is it written?Ohio SubscriberAnswer: You aren't missing anything in CPT® -- Medicare's Correct Coding Initiative (CCI) holds the answer. CCI bundles the following lesion excision codes with their corresponding intermediate repair code as a column 2 code:11400...

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