Category: CC-Dermatology

MDM Credit for Office Visits in 2021
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MDM Credit for Office Visits in 2021

June 24, 2021 Question: I am a Dermatologist. I have a patient who was referred to my office who has dementia and was unable to provide her medical history. The patient’s granddaughter was able to provide the patient’s medical history to me as the patient was confused and unable to provide this information. Is there...

New 2021 E/M Coding Guidelines
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New 2021 E/M Coding Guidelines

May 27, 2021 Question: In the new guidelines, how does Time affect billing for a teaching physician’s E/M service when the resident spends a great deal of time with the patient? Answer: Good question!  Only the time of teaching physician would “count” in the scenario you describe.  The new guidelines say that the time of...

Adjacent Tissue Transfer
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Adjacent Tissue Transfer

May 13, 2021 Question: My physician and I are in a disagreement regarding a malignant lesion excision performed with an ATT.  She performed a malignant lesion excision along with the ATT which is  7cm on the arm.  She wants to code both the excision of the malignant lesion and ATT.  I think we should only...

Skin Tags
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Skin Tags

April 15, 2021 Question: If a physician removes skin tags by shaving can we report 11300? Answer: If you are removing skin tags you would report 11200 (Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions) If more than15 skin tags are removed you would also report the add-on...

Coding an Epidermal Inclusion Cyst
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Coding an Epidermal Inclusion Cyst

April 1, 2021 Question: I excised an EIC lesion on the chest.  I coded this as D48.5 but my coder says this is the wrong diagnosis code.  What is the correct diagnosis code? Answer: ICD-10-CM code D48.5 (Neoplasm of uncertain behavior of skin) is incorrect as you have stated the patient has an EIC (epidermal...

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