January 4, 2018
Can I bill Mohs surgery without a confirmed pathology report?
No, A biopsy must be performed on the skin lesion for which Mohs’ surgery is planned in order for the physician to determine the exact nature of the lesion(s) to be removed. If a biopsy has not been performed within 60 days, the Mohs surgeon can perform the biopsy on the same date as the Mohs surgery by appending Modifier 59 to the biopsy as it is bundled with Mohs surgery under the National Correct Coding Initiative (NCCI). However the biopsy cannot be performed at the same time as Mohs surgery. The surgeon must have the biopsy results prior to surgery.
*This response is based on the best information available as of 01/04/18.