Coding Flashcards

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1
Q

what is a 11102

A

1st shave biopsy

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2
Q

what is a 11104

A

1st punch biopsy

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3
Q

what is a 11106

A

1st excisional biopsy

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4
Q

What is the pattern for biopsy codes

A

they are all 111 codes starting with 11102 (shave)

odd numbers are additional biopsies for the code before it. The order goes shave (02), punch(04), incisional(06)

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5
Q

you report only one primary code for biopsies if more than one type is done the rest are reported as additional biopsy codes. What is the highest to lowest value of primary codes for 111 biopies.

A

incisional>punch>shave

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6
Q

Name that code 11755

A

nail biopsy

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7
Q

Name that code 40490

A

lip bx

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8
Q

Name that code 54100

A

penis bx

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9
Q

Name that code 56605

A

vulva bx

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10
Q

Name that code 67810

A

eyelid margin incisional bx

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11
Q

Name that code 69100

A

ear bx

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12
Q

what do these codes cover 11300-11313

A

shave removal codes.

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13
Q

What are the 1700+ codes

A

AK destruction

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14
Q

What are the 1711+ codes

A

destruction of benign lesions and warts

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15
Q

what are the 1726+ codes

A

destruction of malignant lesions

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16
Q

List the three 1700+ codes

A

17000 1st
17003 2-14 reported for each one
17004 15+

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17
Q

List the two 1711+ codes

A

17110 up to 14 benign destructions

17111 15+ benign destructions

18
Q

modifier 24 and 79

A

unrelated EM (24) in a global period or procedure (79)

19
Q

modifier 25

A

EM service unrelated to the main service like with a skin exam and biopsy.

20
Q

modifier 58

A

lessor to greater procedure or staged excision in global period.

21
Q

modifier 78

A

additional surgery due to complications of the original surgery.

22
Q

modifier 79

A

unrelated surgery in the global period of a previous unrelated surgery.

23
Q

modifier 59

A

multiple separate identifiable procedures on same day

24
Q

codes 120xx

A

simple & layered repairs

25
Q

codes 131xx

A

complex repairs

26
Q

17311 code

A

Mohs 1st layer face

27
Q

17312 x n code

A

subsequent mohs stages face

28
Q

17313 code

A

Mohs first layer trunk extremities

29
Q

171314 x n code

A

subsequent mohs stages trunk extremities

30
Q

17315 x n

A

n is more than 5 tissue blocks in a layer

31
Q

Three procedures with 0 day global periods?

A

Mohs, biopsies, simple repairs

32
Q

Four procedures with 10 day global period?

A

Excisions, Incisions, Repairs, destructions

33
Q

Does the ten day global period include the day of surgery?

A

No. It is ten days following the day of the surgery.

34
Q

What is the global period for a flap or graft

A

90 days

35
Q

What is unique about the days of a 90day global period?

A

It is actually 92 days Starting the day before the surgery.

36
Q

If you remove a soft tissue tumor can you bill for an intermediate and/or complex repair.

A

Not intermediate as is already in the excision code for soft tissue tumors.

37
Q

What is the most common modifier code we use in the office.

A

25 separately identifiable E/M on the day a procedure was done.

38
Q

What is the second most common modifier we use in the office

A

51 multiple procedures on the same day.

59 distinct different procedures the same day

39
Q

What code do you use if you are going to do a 90day global period procedure and want to bill an EM code the day of the surgery.

A

57

40
Q

What goes into the calculation of an RVU?

A

work + practice cost + malpractice

41
Q

What is a 99024 code

A

post op visit in a global period no billing done.

42
Q

G201x
992xx
994xx

A

Teledermatology codes
G201x no bill pt will followup either in 24hrs or 7days
992xx real time encounter sychronous
994xx photo sent to md with response asychronous