Any help with this CPT code would be great!
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Tag Archives: Skin
ED Services w/addtl skin tag removal
Hi there-
I have a patient whom was seen in the ED voicing c/o UTI symptoms and a skin tag on her labia. E/M code based on 97 guidelines is 99282. My question is, the same ED provider treated a skin tag on her labia via a pursestring suture at base of the stalk. Would I need to supply an additional procedure code or apply modifier -25? I’m new to E/M coding and just wanted some insight. Thanks in advance for any help:)
Excision olecranon bursitis with skin removal
Need help please!
Procedure performed:
Excision of large olecranon bursitis with complex skin closure and excision of elliptical shaped skin, approximately 10 x 4 centimeters attached to the bursa.
Procedure performed:
Excision of large olecranon bursitis with complex skin closure and excision of elliptical shaped skin, approximately 10 x 4 centimeters attached to the bursa.
Procedure detail states that "approximately 10 x 4 cm of skin elliptical shape was excised with the olecranon bursa using a #15 scalpel as well as unipolar electrocautery".
Should I add a 22 modifier to 24105, or would the skin excision be included? This seems to be over and above the normal bursectomy.
Thanks in advance,
T. Chandler, CPC
Risk factor for Skin Biopsy
Hi,
We are having a debate in our office regarding choosing the Risk Factor for Skin Biopsies. When looking at the RISK table, skin biopsy is found under the Low Risk column. Others are looking to the Moderate risk column, under "Undiagnosed new problem with uncertain prognosis e.g. lump in the breast".
We are having a debate in our office regarding choosing the Risk Factor for Skin Biopsies. When looking at the RISK table, skin biopsy is found under the Low Risk column. Others are looking to the Moderate risk column, under "Undiagnosed new problem with uncertain prognosis e.g. lump in the breast".
For example, Let’s say it is an established patient with a Detailed HPI, EPF exam, with 2 established improved diagnosis with no treatment, and a biopsy of arm to rule out isk-vs bcc.
What risk factor do you chose?
Thank you in advance!
E&M with skin tags
My plastic surgery office would like to bill skin tags as cosmetic only. We have Medicare sign the ABN form. They would also like to bill the office visit to insurance. The reasoning is that the patient calls in with a lesion of concern- we do not know it is a skin tag- we evaluate it and determine it is a skin tag and tell the pt we will remove it for a cosmetic fee- the patient is ok with this so we remove. They say that they are evaluating this and that should be billable. We are creating 2 encounters one for the insurance and one for cosmo. As long as this is a new problem that we are evaluating is this billable with an e&m?
Thanks!
Thanks!
Incision and drainage vs skin pocket relocated
Hi
Please help out to select the codes for this report.
Please help out to select the codes for this report.
Patient existing pacemaker generator skin pocket was infected. Incision and drainage was done by using scalpel and existing skin pocket was closed with dressing. New pocket was created in the additional area of skin and pacemaker generator was relocated without complication.
CPT please
Thanks
New patient dermatology skin check no hpi (help!)
I cannot get an HPI for the life of me. Can family history of melanoma be counted as context for the below information gathered?
Chief Complaint: Mole Check
HPI: This is a 15 year old male who has a family history of melanoma, and is here for mole check. Pertinent negatives include: no previous history of skin cancer.
ROS and PFSH recorded. Patient had a detailed exam along with biopsies of 2 lesions examined on left arm and assessment of dysplastic nevus to right upper back with counseling and solar lentigines with counseling. I can get 2 of 3 from this visit but I know I need 3 of 3 for new patient.
Can family history be counted as context? Otherwise, can this be down coded to an established to meet at least the 2 of 3 for an established patient.
Any information will be appreciated. I have searched everywhere for answers.:(
Skin Graft’s (Q4160, Q4172, Q4131) for a SNF patient
I know that physician services are paid separately but I cannot find if the the Q code for the graft is billed to the SNF or to Medicare? Can anybody tell me where I can find this info?
Skin re-excisions
Our clinic is conflicted on the appropriate way to code the pathology report on a follow-up excision after a diagnosis of carcinoma. Some of us say we should code the carcinoma even if it says "no residual…" and some of us say no. Please help us solve our dilemma!
Skin, right mastoid, excision:
– No residual basal cell carcinoma. (C44.41)
– Epidermal reparative change and dermal scar, consistent with biopsy site. (L90.5)
skin tag removal with sutures placed
Hello, Can I bill 11200 and 12001 together if skin tag was removed and 3 sutures were placed to control bleeding? – Thanks.
Procedure: Hemostasis of bleeding skin tag.
Verbal consent incl risks/beneifts from daughter at bedside
The area was cleansed. 1% lido used to infiltrate the area. Bleeding noted from the base on the skin tag. I used silver nitrate stick but still bleeding. The skin tag was removed (had barely been connected). I put 3 3-0 silk hemostatic sutures in place around the area of bleeding with control of bleeding.