tci Medicare Compliance & Reimbursement - 2007 Issue 24

MEDICARE PART B: Make Sure You Cover Your Diagnosis-Code Bases

Lesion-removal ignorance could be costing your practice money.Myth: Medicare won't pay for shave removal codes (11300-11313) for benign lesions. Reality: Medicare carriers will cover these codes, along with other lesion removal codes, says Inga Ellzey, president and CEO of the Inga Ellzey Practice Group in Casselberry, FL.Many coders decide Medicare won't cover 11300-11313 because they've received denials, Ellzey notes. But any denials your practice receives will likely be due to improper documentation or incorrect diagnosis codes.Coding: There are three different ways of removing a lesion, Ellzey explains. If your physician just removes part of the lesion...

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