Click here for more sample CPC practice exam questions with Full Rationale Answers

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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

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

sebaceous cyst i&d vs excision

Can anyone help me with this. I want to make sure I am on the right track. I have a provider meeting next week and I seem to be getting mixed directions when it comes to proper coding for a sebaceous cyst incision and drainage vs. excision

if the provider makes an incision ( no excision-no margins) removes the contents and the sac if the sebaceous cyst. . Do I code the I &D 10060, 10061 or do I code the benign excision codes according to size and location of the lesion 11400-11446. There seems to be some confusion on this matter. I have a provider meeting coming up where we will be discussing this and I would like to get to the bottom of this. thank Lyndzee Toone, CPC (family practice)

Medical Billing and Coding Forum

Claim denial 10060 for I&D sebaceous cyst

Hi,

I recently got a denial for a claim where a sebaceous cyst was drained from a patient’s face (LT cheek). ICD-10 code was billed as L72.3 with CPT code 10060. I checked the LCD and L72.3 is not covered. The CPT index directly refers you to 10060 for I&D sebaceous cyst. The LCD doesn’t even have unspecified cyst on the list and my provider does not feel abscess or cellulitis is appropriate. Has anyone else come across this?

Thanks,
Crystal

Medical Billing and Coding Forum