Leading Guidelines Of Coding for Biopsies, Shave Eliminations, and Excisions – MDedge
Consider how lots of times a year you shave eliminate mole or other benign lesions. Compare the payments to those that you would receive if you billed biopsy codes just. Just 2 biopsy codes exist versus 12 shave elimination codes.
The biopsy codes do not pay you more if you eliminate a lesion on the back versus a sore on the face. 3. If the sore (e. g., nevi, seborrheic keratosis, and warts) is larger than 0. 5 cm/d, then the payments are more in 7 out of the 12 codes versus the 2 biopsy codes.
4. If you bill more than one shave removal, you make more money for the 2nd aching billing the 113XX series than you do11101 For all 12 codes, you earn money more billing in this manner. Let’s have a look at what I indicate. When you bill a second sore using the 113XX series, you earn money more based upon the size and location of the lesion compared to carrying out a biopsy, which pays the same no matter place.
7 out of 12 times (or 58% of the time), you will make more money billing 113XX code for the very first sore versus11100 100% of the time, you will make more money if you eliminate more than one aching on the precise very same date of service.
Use ICD-9 code238 2 when billing the shave elimination codes to expose the sore fulfilled medical necessity criteria such as uneasy, bleeding, suspicious of skin cancer, edematous, erythematous, or inflamed.
We carried out frozen histology on 3 specimens and billed 88331 at three systems. Is this suitable? We excised a squamous cell cancer. The dermatopathologist sectioned this one tissue specimen into 3 different sections and stained each. We billed 88331 at one system and 88332 at 2 systems. Is this appropriate? You are correct.
http://medicalbillingcertificationprograms.org/top-guidelines-of-coding-for-biopsies-shave-eliminations-and-excisions-mdedge/
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