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Confirmation with Pathology
March 4, 2021 Question: My physician excised a lesion the was 1.5cm on the trunk. He documented it as a…
Mohs Surgery Performed the Same Day as a Biopsy
February 18, 2021 Question: A patient was referred to our Mohs surgery for a lesion on the cheek. The family…
Excision of Rheumatoid Nodules
February 4, 2021 Question: I excised a rheumatoid nodule on both the left and right elbow. What CPT code do…
Coding Intermediate Repairs
January 21, 2021 Question: Can I report CPT 12052 for an intermediate repair of the cheek and nose. The size…
Wedge Excision with Reconstruction
December 17, 2020 Question: My physician did a full thickness wedge excision with an Estlander flap of the right upper…
Paring or Cutting
December 3, 2020 Question: I am new to Dermatology coding and need some help. The previous coder told me for…
New 2021 Evaluation and Management Code Guidelines
November 12, 2020 Question: I heard that the E/M code guidelines are changing in 2021. Will this apply to all…
Excision of Cyst
October 29, 2020 Question: I need some help. The physician made an incision over a cyst was able to remove…
MOHS with an E/M Service
October 15, 2020 Question: A Medicare patient came in last week and my doctor did a biopsy on the chest…
Lesion on Eyelid
October 1, 2020 Question: Can I report CPT code 67850 when liquid nitrogen is used to destroy a lesion in…
Diagnosis Code Help
September 17 , 2020 Question: What diagnosis code should I use for malignant melanoma of the left cheek? Answer: You…
Actinic Keratoses
September 3 , 2020 Question: When using liquid nitrogen to for irritated actinic keratoses what CPT codes should I use?…
Excision and Cryotherapy Same Day
August 20 , 2020 Question: My physician performed a lesion excision on the scalp which measured 0.8 cm and performed…
EXPAREL Use
August 6 , 2020 Question: What HCPCS codes can I report when the physician administers EXPAREL after the procedure in…
New Patient Visit
July 23 , 2020 Question: Is this a new patient visit? I saw a new patient last week in the…
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…
Biopsy Diagnosis
June 25, 2020 Question: What is the appropriate diagnosis code to submit when I do a skin biopsy of the…
Malignant Lesions on Lip
June 11, 2020 Question: What diagnosis code should I use for a patient treated for two malignant lesions, one in…
AK’s with Biopsy on the Same Date
May 28, 2020 Question: We had a Medicare patient who came in with AKs and a lesion on the eyelid.…
Telemedicine and “Incident to”
May 14, 2020 Question: Can a nurse bill a 99211 as “incident to” for a telemedicine visit? Answer: If all…
Phone Call Documentation
April 30, 2020 Question: What documentation is needed to bill for a phone only visit besides time? Answer: There aren’t…
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…
Approved Telehealth Platforms
April 2, 2020 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform…
Yeast Dermatitis
March 19, 2020 Question: What diagnosis code is reported for yeast dermatitis? Answer: You would report B36.8 (Other specified superficial…
Dysplastic Nevus
March 5, 2020 Question: Would I code a melanocytic nevi of the right shoulder with ICD-10-CM code D48.5? Answer: No,…
Diagnosis Code for Skin Cancer Screening
February 20, 2020 Question: My physician sees a patient for a skin cancer screening. What diagnosis code should I use…
Lesion Excision with ATT
February 6, 2020 Question: We have been billing malignant lesion excisions and ATT’s separately and we were getting paid. Now…
Keloid Scar Destruction
January 23, 2020 Question: What CPT code should you report for laser removal of a keloid scar? What should be…
Unspecified or Uncertain Behavior
January 9, 2020 Question: My provider insists on calling some lesions uncertain behavior because he is suspicious of cancer. This…
Measurements for Excision of Lesion Removal
December 19, 2019 Question: Our coder sometimes uses measurements listed in the pathology report for lesion excisions, because the measurements…
Articles
Going Cosmetic? Part 1
The Association of Dermatology Administrators & Managers Newsletter by Glenn Morley If you’ve decided to make the strategic change toward…
Going Cosmetic? Part 2
The Association of Dermatology Administrators & Managers Newsletter by Glenn Morley For physicians who have decided to incorporate cosmetic services…