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Click here for more sample CPC practice exam questions and answers with full rationale

coding recurrent vs primary wrist ganglion removal

Does anyone have any helpful links or resources that explain when to bill recurrent (25112) vs. primary (25111) wrist ganglion removal? My provider always comes back to me stating that ALL ganglions are recurrent and wants to bill recurrent removal 25112 instead of primary 25111 on every patient, regardless of whether or not the patient has had prior treatment on the ganglion. I would like to have some definitive documentation to back up the correct way to bill/code for a ganglion cyst removal. Thanks!

Medical Billing and Coding Forum