Category: Dermatology

XTRAC Therapy
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XTRAC Therapy

September 16, 2021 Question: We have recently begun treating our psoriasis patients  using XTRAC laser therapy.  I have looked extensively and cannot find a CPT code for this procedure.  Can you help me? Answer: The XTRAC excimer laser is reimbursed by most payors for mild to moderate plaque psoriasis by most major insurance carriers. Some...

Treatment for Psoriasis
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Treatment for Psoriasis

September 2, 2021 Question: I am new to Dermatology coding and need some help.  My physician saw a patient with psoriasis and the documentation says she performed light therapy on the palm of the right hand and left forearm.  My physician told me to report 96900 for ultraviolet light therapy.  My question is can I...

Repair after Mohs Surgery
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Repair after Mohs Surgery

August 19, 2021 Question: I am trying to code a repair.  My physician performed one stage of Mohs surgery and the documentation says he did a “purse string repair”  How would I code this? Answer: Usually a purse string repair is a simple repair report using a code from 12001-12018. But look carefully at the...

Telehealth Coding Using Audio Only
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Telehealth Coding Using Audio Only

August 5, 2021 Question: My doctors are providing telehealth office visits using audio only.  They have told me it is okay to use E/M codes 99202-99215 for telephone visits.  I was reading the temporary guidelines for Telehealth during the PHE and cannot verify these are the right codes. Can you help? Answer: When the telehealth...

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...

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