tci Part B Insider - 2012 Issue 10

Part B Coding Coach: 11640-11646 Demystified: Can You Conquer These Excision Coding Scenarios?

Referrals, unexpected findings, and multiple excisions -- check out these case studies to learn how the experts handle them. Coding all services involved in a lesion removal can quickly lead you into "gray" areas, such as determining whether you should report a separate E/M service when performing minor excisions in the office. Use these three case studies to understand how you should handle confusing lesion coding scenarios. Case Study 1: Referral With Simple Excision A family physician (FP) refers a patient to your dermatologist for excision of a "mole" on the patient's left cheek. The dermatologist suspects that the...

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