Category: Dermatology

EXPAREL Use
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EXPAREL Use

August 6 , 2020 Question: What HCPCS codes can I report when the physician administers EXPAREL after the procedure in the office? I cannot find the code. Answer: Exparel is a nerve block and is sometimes used in the office as part of the surgical procedure and is included in the practice expense for the...

New Patient Visit
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New Patient Visit

July 23 , 2020 Question: Is this a new patient visit? I saw a new patient last week in the ED for a wound infection and reported my service with the ED code 99284. He came into the office today for a new patient office visit. I documented a detailed history and examination and prescribed...

Soft Tissue Tumor Removal
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Soft Tissue Tumor Removal

July 9 , 2020 Question: My physician removed a soft tissue tumor on the patient’s foot measuring 1.2 cm. Documentation indicates subcutaneous. He is coding this as a benign excision and wants to report CPT code 11422. Can you tell me if this is correct? Answer: The correct CPT code to report is CPT code...

Biopsy Diagnosis
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Biopsy Diagnosis

June 25, 2020 Question: What is the appropriate diagnosis code to submit when I do a skin biopsy of the eyelid? Answer: If you are submitting the claim the same day, you could report D49.2 (Neoplasm of unspecified behavior of skin) since the diagnoses is unknown, but it is recommended that you wait for the...

Malignant Lesions on Lip
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Malignant Lesions on Lip

June 11, 2020 Question: What diagnosis code should I use for a patient treated for two malignant lesions, one in the mucosa of the upper lip and a second in the mucosa of the lower lip? Answer: You will need two diagnosis codes. C00.3-Malignant neoplasm of upper lip, inner aspect and C00.4-Malignant neoplasm of lower...

Phone Call Documentation
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Phone Call Documentation

April 30, 2020 Question: What documentation is needed to bill for a phone only visit besides time? Answer: There aren’t any specific rules about documenting telephone calls for covered telephone call services during the current public health emergency, but the general principles of documentation should be your guide. Remember that medical necessity should be documented,...

When and How to Bill Q3014
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When and How to Bill Q3014

April 16, 2020 Question: How do we bill for Q3014 when we perform a teledermatology visit with video? Answer: Q3014 is not billed by the provider performing the visit (real-time audio and video) when the patient is at a different location. Q3014 is only billed by facilities if a patient goes to a facility and uses the facility’s technology...

Approved Telehealth Platforms
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Approved Telehealth Platforms

April 2, 2020 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform to conduct a telemedicine visit? Answer: You may use any app or platform that is not “public facing” according to HHS. Platforms such as Facebook Live, Twitch, and TikTok are considered public facing. Skype, FaceTime,...

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