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!