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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…
Billing for Incisional Biopsies
December 5, 2019 Question: How do we code for 2 separate incisional biopsies – one on the back and another…
Definition of Simple versus Complicated
November 14, 2019 Question: What is the definition of simple vs complicated for the I&D codes 10060 versus 10061? Answer:…
New Patient, or Not?
October 31, 2019 Question: If I see a new patient in consultation for a suspicious skin lesion and release them…
What Constitutes the Trunk for Complex Repairs?
October 17, 2019 Question: CPT question for anatomy: When coding complex repairs CPT 13100-13102 for complex repair of trunk. What…
Excision versus Biopsy
October 3, 2019 Question: Does this code description require a scalpel? If you do a punch excision – margins are…
Waiting on Pathology?
September 19, 2019 Question: Do you have to await the pathology report in order to assign the diagnosis of benign…
Incident-To Billing
September 5, 2019 Question: Our physicians have instructed us to bill under a physician’s NPI number for all Advanced Practitioners…
Documenting Codes in the Procedure Report
August 22, 2019 Question: I’ve been dictating CPT and ICD-10-CM codes in my procedure note so that my coder knows…
Mohs Staging
August 8, 2019 Question: My physician performed Mohs surgery on a patient with a basal cell carcinoma on his cheek.…
Lesion Excision and Repair
July 25, 2019 Question: I saw a patient for an excision of a squamous cell carcinoma on his chest. The…
Confirmation Pathology Report
July 11, 2019 Question: Can we perform Mohs surgery without a pathology report? Answer: If you review CMS and other…
Modifier 59
June 20, 2019 Question: I destroyed 8 AKs and 3 SKs on a patient and also took a shave biopsy…
Diagnosis Code
June 6, 2019 Question: A pathology report came back from a skin biopsy stating “compound dysplastic lesion with severe atypia. …
Ear Biopsy
May 23, 2019 Question: What is the correct code for a tangential biopsy of the antihelical fold? I was going…
Skin Tag Removal by Shave
May 9, 2019 Question: If I remove 3 small skin tags (less than 0.5cm) by shave technique from a patient’s…
Modifier 50 for ATT?
April 25, 2019 Question: My doctor did two adjacent tissue transfers, one on the abdomen and one on the each…
Separate Pathology with Mohs?
April 11, 2019 Question: I had a patient that came in for Mohs surgery for a BCC and I noticed…
E-Consults?
March 28, 2019 Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare…
Optical Biopsy Changes?
March 14, 2019 Question: Since the skin biopsy codes changed, I would like to ask if you know of any…
Skin Biopsy Codes
February 28, 2019 Question: What happened to the skin biopsy codes? Answer: CPT deleted CPT codes 11100 and 11101 and…
Pilonidal Cyst Removal and Repair
February 14, 2019 Question: If one of our doctors removes a complex pilonidal cyst that requires a rhomboid flap repair,…
Skin Tag Removal
January 31, 2019 Question: One of the doctors removed 4 skin tags by shave, so she wants to code them…
What is Simple?
January 17, 2019 Question: The incision and drainage codes 10060-10061 and 10080-10081 have one code for simple and one for…
Vitiligo Treatment
December 13, 2018 Question: My question concerns what would be the proper code for laser light treatment performed for vitiligo…
Chemical Peel
November 29, 2018 Question: What code should we use for a chemical peel of less than the entire face? Answer:…
Microdermabrasion
November 15, 2018 Question: Is the correct code for microdermabrasion 15780 or some other code? Answer: CPT code 15780 (Dermabrasion;…
Division and Inset of Flap
November 1, 2018 Question: A patient presents for division and inset of a neck-to-ear pedicle flap. Should we report 15620…
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…
