Hilde Posted Thu 14th of June, 2012 14:14:38 PM
My doc was requested to close the surgical wound after another surgeon did moh's surgery on our patient's eyelid. How do I code that?
SuperCoder Answered Thu 14th of June, 2012 17:50:30 PM
There is a clear guideline in CPT book regarding Moh's Surgery on Page 79 of AMA CPT 2012 book
"It requires a single physician to act in two integrated but separate and distinct capacities: surgeon and pathologist. If either of these responsibilities is delegated to another physician who reports the services separately, these codes should not be reported. "
The Mohs surgeon removes the tumor tissue and maps and divides the tumor specimen into pieces, and each piece is embedded into an individual tissue block for histopathologic examination. Thus a tissue block in Mohs surgery is defined as an individual tissue piece embedded in a mounting medium for sectioning.
If repair is performed, use separate repair, flap, or graft codes.You cannot code for the closure for different physician.