Cynthia Posted 6 month(s) ago
The doc did did the following procedures on the same day
Dx Ro3.0. L72.3
Please. I get so confused with multiple procedures for the correct modifiers
Adding up the excisions puts the repair over 12.6 cm.
This is the dr office.
SuperCoder Posted 6 month(s) ago
For modifiers while billing multiple units of 11423,
Some payers prefer: 11423 Excision lesion 1; 11423-51 Excision lesion 2; 11423-51 Excision lesion 3, so on.
Some payers prefer: 11423 Excision lesion 1; 11423-59 Excision lesion 2; 11423-59 Excision lesion 3, so on.
Others including medicare intermediaries want: 11423 Excision lesion 1; 11423-59,51 Excision lesion 2; 11423-59,51 Excision lesion 3, so on.
So, it is payer specific. Contact your local payer for its policy details regarding this.
E/M codes are not seperetely reported with excision codes. You can try to bill 99213-25 with R03.0 if it gets paid.
Hope that helps!
6 month(s). There are 2 posts.
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is from SuperCoder