tci Part B Insider - 2011 Issue 38

Reader Question: Document Modifier 22 Justification

Question: Our surgeon excised a very large lipoma located primarily in the upper back, but extending into the right shoulder area. Which anatomic site should I use for coding the service, or should I code a lipoma excision for each site?Answer: You should not code two lipoma excisions for the example you give. When an excision spans anatomic sites described by different codes, report the code that identifies the site that encompasses the majority of the lesion. For a lipoma located predominantly on the back, choose from the following codes: 21930 -- Excision, tumor, soft tissue of back...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.