Any help or guidance to the information would be great.
I am trying to find a document or something in writing that states when the E/M code is appropriate to be with a 12002 and when it is not.
Thank you,
Aimee 😉
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationale Any help or guidance to the information would be great.
I am trying to find a document or something in writing that states when the E/M code is appropriate to be with a 12002 and when it is not.
Thank you,
Aimee 😉
Patient had a previous excision of a penile mass, which healed into fibrous scar tissue. Lesion recurred. Patient did not want to go thru the hassle of plastics, insisted on Urology. The doctor used a 15 blade to incise the skin then a Bovie to excise the fibrosis, scar, and lesion from subq tissue, totaling 3cm. He did two layers of sutures to close – 3-0 chromic horizontal mattress sutures to close subq and then 4-0 chromic to re-approximate the skin edges.
My colleague says 11423 would be appropriate because he excised a "mass".
My research points to the 13132 because of the layered suture.
BUT, it could go to the 12002 because it it’s only subq.
If he had just excised the lesion, I would’ve gone with 54060, but once I saw scar tissue and multiple layers of sutures, I started thinking derm codes. But, as I said, derm isn’t my forte, so I’m hoping someone with more familiarity than I will shed some insight.
Thanks in advance!!