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Cynthia Posted 6 month(s) ago
The doc did did the following procedures on the same day 99213 11403 11423 x4 12035 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!

Posted by Cynthia, 6 month(s). There are 2 posts. The latest reply is from SuperCoder.

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