HELP!!! I don’t fully understand how to read the LCD’s for Medicare. My understanding when billing 11200-17111 only the codes in group one are the only ones covered. The dx I have isn’t in that list, but it is listed in Group 2 codes D22.4 and D22.61

How do I get MC to pay for atypical lesions with the dx of D22.4 or D22.61? Is the add on code supposed to be Z78.9? Can we have the patient sign an ABN for atypical melanocytic nevi removal? The pathologist require these be excised.

HELP!!!