tci Part B Insider - 2012 Issue 26
Lesion Coding: Look Past the Urban Myth About Adding up Lesion Sizes
Pay attention to your non-Medicare carriers' policies on multiple lesionsMyth: When your doctor excises multiple lesions, you should add their areas together and bill for one excision. Fact: This is a \"common misconception,\" according to 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 those who don't do integumentary coding very often, become confused because the rules are different for laceration repairs. With laceration repairs, you do add the lengths of tissue repaired...
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