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Mohs, repairs, multiple code combo denials

I’m new to Derm and I’m coming across a lot of denial issues. Examples below. Feedback appreciated!

13132-59 Claim paid
11200 Charge denied
Shouldn’t both claims pay seeing that the 59 was added for the NCCI edit?

17311-79
17311-79-59 (BSC left mid-jawline and BSC left lateral jawline//2 separate dx codes)
17312
14301-79
14302-79
Should 2 units of 17311 be billed instead of separate line items? 14302 and 17312 are the only charges that paid. How can the add-on be paid and not the parent code? This is GA Medicare.

21235 billed with 14061. Graft pays, flap denied.

Medical Billing and Coding Forum

Billing Medicare for Patient Lift system repairs

What is the proper way to bill for repairs for E0640. Would we bill the E0640 with a modifier RB or do you use K0739? I can’t find an answer on the Medicare website, I have found that they do pay for it but no explanation as to how to bill.

Thanks for any help

Medical Billing and Coding Forum

Coding laceration repairs with an E/M code

Can anyone share with me their thoughts on coding laceration repairs please. I work in an urgent care and there is question as whether to code an E/M with a simple, intermediate or complex laceration repair. I would think that if there are no other signs or symptoms involving the laceration repair and it is a simple repair that we would only bill the repair (whether it be dermabond or sutures) however if the laceration happened due to a fall, accident, etc. then of course we would do a work up on the patient and bill the proper E/M along with a -25 modifier. I would greatly appreciate some feed back, thank you.

Medical Billing and Coding Forum

Modifier for Dermatology Excisions and Repairs being billed together

As a general rule, and I correct in using -51 on the Excision code when both procedures are billed together in the same visit? Or should it be -59? I’ve been told either, but that doesn’t seem correct. Thanks for your help!! :)

Medical Billing and Coding Forum

debridement in repairs

Is debridement included in the repair codes (simple, intermediate, complex) ? In the guidelines it is noted that simple wound exploration is included but I am not sure if "debridement" is a part of simple wound exploration or should I use additional codes from the medicine section for the debridement?
Thanks

Medical Billing and Coding Forum