tci Part B Insider - 2010 Issue 1

Part B Coding Coach: Dig Into Details to Decipher How to Report Lesion and Tumor Codes

Growth characteristics, size, and depth can offer you handy clues that will lead to accurate coding. If your payer consistently denies claims you submit for foot tumor excisions, perhaps you should be using a lesion debridement, lesion shaving, or lesion excision code instead. Many coders erroneously report lesion debridement or excision as foot tumor procedures, said John P. Heiner, MD, of the American Academy of Orthopedic Surgeons (AAOS) Coding, Coverage, and Reimbursement Committee at the CPT and RBRVS 2010 Annual Symposium in Chicago. The confusion apparently stems from a lack of understanding of the differences between the two conditions...

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