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bengin lesion excision

What does CPT mean "report each lesion separately"? If you have to excise two different lesions on the face, how do you report that assuming both fall in the 11041 range? I have looked in CPT...

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Re: bengin lesion excision

You bill for each separate excision even if the code ends up being the same. You can either do 11400 x2 or 11400 and 11400-51 dependng how the payor wants it. Erica

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Re: bengin lesion excision

Thank you for answering this question. When reading CCI instructions, I couldn't discern if this issue was being addressed or not. It does not appear to be a -59 issue afterall. That does lead me to...

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Re: bengin lesion excision

Whoa. Slow down a bit or someone's gonna break a synapse. -59 mod is for a distinct procedural service, regardless of who's edits your using.Lesion excisions are not symmetric procedures. By that I...

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Re: bengin lesion excision

You're disagreeing with me, d*amn you I agree with everything you said. Multiple lesions get tricky sometimes and some payors are just dumb. Technically, if the codes aren't bundled, then -51 is...

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Re: bengin lesion excision

True, that, on the bundling issue. In my own experience, I've found that black-box edits usually think that a smaller lesion should be bundled with a larger lesion in the same anatomical group. In...

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