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correct way to code for multiple lesions same size

Sharon. Posted Fri 19th of December, 2014 10:59:28 AM

I have a patient that had 5 lesions removed from the size arm, same size, (11402)with 5 separate incisions and closures. How would I code for these without it looking like a duplication?

SuperCoder Answered Fri 19th of December, 2014 11:13:44 AM

You should code each lesion excision separately if there is a separate incision for the lesion. You would add the lesions together when they are done in the same incision. Add the 51 modifier on all the excision codes after the primary to show multiple procedures.

For additional information regarding billing multiple lesion excisions see the following site.

https://www.supercoder.com/coding-newsletters/my-internal-medicine-coding-alert/heres-why-multiple-lesions-dont-always-mean-multiple-codes-article

Hope this helps.

SuperCoder Answered Fri 19th of December, 2014 11:13:45 AM

You should code each lesion excision separately if there is a separate incision for the lesion. You would add the lesions together when they are done in the same incision. Add the 51 modifier on all the excision codes after the primary to show multiple procedures.

For additional information regarding billing multiple lesion excisions see the following site.

https://www.supercoder.com/coding-newsletters/my-internal-medicine-coding-alert/heres-why-multiple-lesions-dont-always-mean-multiple-codes-article

Hope this helps.

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