tci Part B Insider - 2015 Issue 37

Part B Coding Coach: Don't Miss How Closures and Grafts Can Change Your Lesion Coding

Tip: You’ll still start with lesion size plus margins. Lesion excisions might be commonplace for your physician, but that doesn’t mean your coding is always cut-and-dried. A coder submitted the following scenario to Supercoder.com—use her situation as a way to ensure your own excision claims are on track. Question: How do we code for multiple skin excisions in the office when frozen sections are done until all margins are clear of cancer? Sometimes it can involve as many as six separate excisions. The simple answer: When coding for skin excisions, you bill based on the...

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