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Dermatology Coding Alert

Procedure Coding:
Answer These Questions to Code Lesion Removals Correctly
Always wait on pathology report before deciding on malignancy. Dermatology coders look... Read more
Case Study Corner:
Improve Lesion Removal Smarts with These Scenarios
You might be able to report a separate E/M in some instances. Check out these case stu... Read more
Make Medicare Status Change Before 2017
Remember: Participating providers receive five percent higher fees for services. As th... Read more
Separate Procedures, Then Make 59/X Decision
Give the payer what it wants — 59 or X. When you have to sort out a claim in whi... Read more
Reader Question:
Mark Depth of Lipoma Before Choosing Code
Question: How would I code for the removal of a mobile lipoma from the right flank ... Read more
Reader Question:
Go with G Modifiers on ABN Claims
Question: When should the dermatology practice get a signed advance beneficiary not... Read more
Reader Question:
I.D. Deep Abscess I&Ds; with This Info
Question: The dermatologist reviews a 29-year-old female patient with complaints of... Read more
You Be the Coder:
Simple, Complicated I & Ds
Question: The dermatologist provides an evaluation and management (E/M) service for... Read more
CCI 22.3:
Tidy Up Your Debridement Coding With These CCI Bundles
Latest edits move several debridement codes into Column 1. Correct Coding Initiative (... Read more
Procedure Coding:
Drain All I&D Coding Doubt With This FAQ
Know what a comedo extractor is? Read on to find out. When your dermatologist performs... Read more
Dual-Provider Coding:
Keep Incident-To, Split Visits Separate With These 3 Tips
Coding decision might be based on POS. Stop me if you’ve heard this one before. ... Read more
Reader Question:
Use 'B' Code for Underlying Infection
Question: An established patient reports to the dermatologist complaining of sores ... Read more
Reader Question:
Start Using This Dx Code for Zika
Question: Is there an ICD-10 code for the Zika virus in the 2017 manual? Massachu... Read more
Reader Question:
Avoid Attention From Medicare By Following Stark Law
Question: I overheard one of our physicians recently tell a nurse practitioners (NP... Read more
You Be the Coder:
Counting Corns and Coding Cutting
Question: A new patient presents to the dermatologist with a chief complaint of cor... Read more
Foreign Body Removal:
Cut to the Chase With This FBR Coding Advice
Here’s what separates an E/M service from an FBR. When your dermatologist perfor... Read more
E/M Coding:
Spot Additional E/M on Some FBR Encounters
Use modifier 25 on E/M when you prove separate service. Let’s say a patient come... Read more
Hospital Coding:
Look Out for Observation Services That Change
Experts: Wait until hospital stay is over before coding. Coders take note: When your ... Read more
Reader Question:
CPT® 2017 Holds T Codes for Neurofibroma Destructions
Question: I have been reading about possible updates to the CPT® manual for 201... Read more
Reader Question:
Get Specific Notes for Complex Closure Claims
Question: Encounter notes specify only that the provider performed “extensive... Read more
Reader Question:
Know Telemedicine Types Before Considering Codes
Question: Often, one of our dermatologists or qualified nonphysician practitioners ... Read more
You Be the Coder:
Coding Open Wounds vs. E/M Services
Question: What is the difference between an open and closed wound, and does open wo... Read more
Pressure Ulcers:
Ease the Pressure of Pressure Ulcer Claims With the Right Dx and Procedure Codes
Tip: Each character of the ICD-10 code makes the diagnosis more specific. Common among... Read more
Laceration Repair:
5 Tips to Stitch Up Your Laceration Repair Coding Errors
Information – particularly location, length, and type of repair – provides t... Read more
Evaluation & Management:
Think a Patient Must Be "Established" Forever? Think Again
These myths could be holding back your dermatology practice’s E/M claims. Whenev... Read more
Reader Question:
Recognize Breach Under HIPAA
  Question: An employee at our dermatology practice accessed records for whi... Read more
You Be the Coder:
Wart Removal from Buccal Sulcus
Question: Our dermatologist recently removed ten lesions of verucca vulgaris from t... Read more
Stop Melanoma Coding Errors Before They Spread
If the dermatologist gets down to the fascia, would you still stick with an integumentar... Read more
Place of Service Codes:
Know Your Place, and Keep POS Codes in Line
Make sure you’re up to speed on the new and updated codes introduced Jan. 1. Sin... Read more
Practice Management:
5 Steps to Healthier Claims
Learn how common coding mistakes can hurt your practice budget. As the healthcare ind... Read more
Reader Question:
Modifier 78 Helps Dehiscence Pay
Question: Is repair of wound dehiscence ever payable during the global period? If s... Read more
Reader Question:
Don't Get Confused About Diameter for Shaves and Excisions
Question: When our dermatologist performs shaving or excision of a lesion, should w... Read more
Reader Question:
Shave Denials with Modifiers for Multiple Sites
Question: The dermatologist shaved three epidermal lesions that the patient chose n... Read more
You Be the Coder:
Scrotum Biopsy
Question: For a biopsy of the skin of the scrotum, do we report CPT® code 11100... Read more
Sunburn Care:
Keep Your Sunburn Coding in the Pink and Out of the Red
Tip: Know when a sunburn case merits and E/M code. Summer’s just around the corn... Read more
Make Your CPT® Code Fit the Procedure With the Right Modifier
Some modifiers may look alike, but each has its own distinct purpose – and the dif... Read more
Dermatologist on Vacation? Make Sure the Sub Meets Incident-To Guidelines
Is your coding office making one of these errors that can wreck your claim? Coders who... Read more
Reader Question:
Work This Plan for SNF Office Payments
Question: One of our dermatologists is treating a skilled nursing facility (SNF) pa... Read more
Reader Question:
Sidestep 'Unprocessable' Denials With These Tips
Question: Due to staff reduction, I have been recruited into doing some coding. I&r... Read more
You Be the Coder:
Cherry Angioma
Question: What would the correct ICD-10 code be for a diagnosis of cherry angioma? ... Read more
ICD-10 Update:
Look for New Hematoma, Redundant Skin Dx Codes
Proposed list would introduce nearly 2,000 new codes, effective Oct. 1. Six months aft... Read more
Limited or Complete ROS? The Right Answer Could Yield $100
The number of body systems the dermatologist reviews can boost or lower the E/M code. ... Read more
Don't Just Scrape By With Your Debridement Coding
How deep does the dermatologist go? The answer could change your claim. If you find co... Read more
Fee Schedule:
CMS Tweaks Fee Schedule Conversion Factor
Multiplier is now 2 cents lower than it was at the start of 2016. If you weren’t... Read more
Get Patient Involved in Benefits Fixes
Incorrect insurance info? Check with patient first, say experts. In previous issues of... Read more
Reader Question:
Put Locum Tenens Rules to Work for You Using These Tips
Question: Our practice recently hired a locum tenens (LT) physician to fill in for ... Read more
Reader Question:
Base Coding on HEM, Not Visit Type
Question: I have a provider that saw a patient on Monday and coded a 99214. He then... Read more
You Be the Coder:
Complex or Simple Integumentary Repair?
Question: Would this be considered complex or just a simple repair? Wound repair ... Read more
CCI Update:
Watch for New Confocal Microscopy Bundles
New Correct Coding Initiative edits also touch on adjacent tissue transfers. Dermatolo... Read more
Nail Treatments:
Know Your Options to Report Nail Treatments and Avoid Denials
Key: Distinguish 11730, 11750, and 11765 from routine care. In your practice, you migh... Read more
Practice Management:
Monitor Claims to Max Out Your Dermatologists' Pay
Keep your AR up-to-date. You’re up-to-date on coding changes, you’ve educa... Read more
Report: Many Practices Are Unprepared for Coming HIPAA Audits
No privacy officer? Then you aren’t HIPAA compliant. As Part B practices nationw... Read more
Reader Question:
Ensure Valid Provider Signatures
Question: I’m having trouble getting my dermatologists to sign their claim fo... Read more
Reader Question:
Make Sure Patients Understand EOB's Purpose
Question: We often get patients who call the practice with questions about their ex... Read more
You Be the Coder:
Pressure Ulcers
Question: A 75-year-old established patient reports to the dermatologist for inspec... Read more
Warts and All, Shave Uncertainty from Your Lesion Coding
Tips: Size – and the number of lesions – matter. Lesion excisions –... Read more
The 3 Questions You Need to Answer for Modifier 24, 25, and 27 Mastery
Warning: Pick the wrong modifier and leave $100 on the table. Does your dermatologist ... Read more
Knowledge Is Power: Better Info from Patients Can Mean Stronger Billing
Tip: Don’t just ask, “Has your insurance information changed?” We&rs... Read more
Reader Question:
Stick with 12020-12021 for Superficial Wound Dehiscence
Question: Is repair of wound dehiscence ever payable during the global period? If s... Read more
Reader Question:
Correct EHR Entries As You Would Paper
Question: We are aware of how to correct a mistake on a paper medical record, but h... Read more
Reader Question:
Cheat Sheets Are Just a Starting Point
Question: We have been training our new dermatologists to use the superbills we pri... Read more
Reader Question:
Don't Automatically Add 25
Question: Can I charge for a 99213 and a 17250 on the same day at the same visit if... Read more
You Be the Coder:
Microscopic Hair Examination
Question: Is there a code for examination of a hair under a microscope, in cases of... Read more
Smooth Out the Wrinkles in Your Dermabrasion Coding
Many 15780-15783 claims may be cosmetic, but proper coding is still essential to fair re... Read more
Place of Service:
Use New POS Code for "Off-Campus" Dermatology Services
Look for changes in payment coming soon for off-campus provider-based clinics. If your... Read more
Target Your EHRs for Scrutiny
Watch incentive payments, too. HIPAA enforcement just keeps getting tougher — th... Read more
Reader Question:
Count Lesions and Not Number of Injections for Reporting 11900
Question: Our dermatologist recently performed intralesional injections for a patie... Read more
Reader Question:
Use Split Visit Rules to Duck 15 Percent Pay Cut
Question: I’ve heard nurse practitioners (NPs) and other providers talk about... Read more
Reader Question:
NPPs Performing FBRs? Know the Rules
Question: A 44-year-old established patient reported with a splinter lodged in his ... Read more
Reader Question:
Base I&D Follow Up on HEM, Not Visit Type
Question: I have a provider who saw a patient on Monday and coded a 99214. He then ... Read more
You Be the Coder:
Layered Closure After Melanoma Excision
Question: Following a melanoma excision, our dermatologist performed a layered clos... Read more
CCI Update:
Coding Tissue Transfers? Watch for These Changes
New Correct Coding Initiative edits impact which procedures you can report with adjacent... Read more
Follow These 'Code Also' Guidelines When Reporting Burns
Remember: These ‘x’ characters are merely placeholders. When reporting bur... Read more
Make Sure Your E/M Claims Aren't Part of the 14.6% Error Rate
NPP claims are part of the problem. Evaluation and management coding and “incid... Read more
This One Tip Can Boost Your Practice's Income by Thousands
Make 2016 your highest income year ever. As you close the books on your 2015 billings,... Read more
Reader Question:
Determine PFSH for E/M Choice
Question: I have a surgeon’s note for an office visit that clearly indicates ... Read more
Reader Question:
Shave Off the Warts With 17110
Question: A patient was taken to the operating room for wart removal, due to the si... Read more
You Be the Coder:
Complicated Abscess Drainage
Question: Our physician reviewed a 56-year-old male patient with complaints of pain... Read more
Allergy Tests:
Scratch or Patch, Avoid a Rash of Allergy Coding Problems
Tip: Code for each allergen, not each scratch. Could one of these skin allergy test... Read more
OIG Recovered $3.35 Billion in 2015, Plans Scrutiny of Services
Place of service errors also continue to be on the agency’s radar screen. Any am... Read more
Get Ahead of Notification Curve for PHI Breach
Avoid stiff penalties that could hurt your practice. With fines ranging from $100 to $... Read more
This MAC Offers 10 Methods to Avoid Appeals
Hint: Modifiers are your friends. If you spend a lot of your valuable time processing ... Read more
Reader Question:
"No Charge" Visits Still Count Toward Established Patient Status
Question: Our dermatologist saw a patient during a quick assessment last year at no char... Read more
Reader Question:
Test EHR Functionality Frequently Post-Implementation
Question: What should our practice do to prevent unintended consequences from electronic... Read more
Reader Question:
Don't Take Chart Amendments Lightly
Question: One of our physicians made mistakes on several charts and printed out new docu... Read more
You Be the Coder:
11721 with E/M
Question: Can I bill Medicare for an E/M visit (99213) along with a debridement of nails... Read more