tci Medicare Compliance & Reimbursement - 2007 Issue 3

PHYSICIANS ~ Pay Attention To Your Non-Medicare Carriers' Policies On Multiple Lesions

Discover why lesion excisions don't need to add up. Myth: When you excise multiple lesions, you should add their areas together and bill for one excision. Fact: This is a "common misconception," according to an article in the August 2000 CPT Assistant. In fact, you should bill for each lesion separately, using the 59 modifier. The only exception is if the doctor excises two lesions close together, using only one excision.Some coders, especially ones who don't do integumentary coding very often, become confused because the rules are different for laceration repairs, notes Joan Gilhooly, president of...

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