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How to code closing only after another surgeon does a moh's procedure on eyelid

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.

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