Category: Dermatology

Sebaceous Cyst Removal
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Sebaceous Cyst Removal

August 23, 2018 Question: We had a patient with a 3.5 cm sebaceous cyst removed from her abdomen.  The physician had to cut into the subcutaneous tissue to remove it.  Should we use a code from the Integumentary section or the Musculoskeletal section to report this removal? Answer: You would report the appropriate code from...

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Refresh your Referral Building

Physicians Practice – August 22, 2018 by Karen Zupko Years ago, a “good referral” was described using the Three A’s of medicine: Availability, Affability, and Ability. A physician striving to build a successful practice was advised to deliver all three. Managed care contracts and narrow networks temporarily stifled traditional referral building. But the patient rebellion...

Shave or Excision?
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Shave or Excision?

August 9, 2018 Question: If I do a shave of a lesion and it comes back from pathology as a malignant lesion, can I bill it as a malignant lesion excision instead of a shave? Answer: No.  According to CPT, a shave is the sharp removal by transverse incision or horizontal slicing to remove epidermal...

I&D of Abscess?
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I&D of Abscess?

July 26, 2018 Question: If one of our physicians uses a needle to puncture an abscess, but allows it to drain on its own and does not incise or aspirate anything into the syringe, can we bill 10060 for an incision and drainage of an abscess?  If not, could we use 10160 for puncture aspiration...

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Intralesional Injection

July 12, 2018 Question: Do codes 11900 and 11901 include the medications used, or should we bill separately? Answer: The codes are specifically for the injection(s).  If you purchase the medications used for the injections, you should bill separately for them using HCPCS II codes. *This response is based on the best information available as...

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Code Submission Order on Claims

June 28, 2018 Question: When we are submitting multiple procedures on a claim, should we submit the CPT codes in the order the procedures were performed, or the most serious findings first, or does it matter? Answer: You should submit codes in descending relative value unit (RVU) order.  If you don’t have software that gives...

New Patient, or Not?
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New Patient, or Not?

June 14, 2018 Question: If I see a new patient in consultation for a suspicious lesion and release them to their primary care provider and they come back to see me for a skin problem one year later on their own, can I code them as a new patient? Answer: No.  According to the CPT...

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