Coding Flashcards
what is a 11102
1st shave biopsy
what is a 11104
1st punch biopsy
what is a 11106
1st excisional biopsy
What is the pattern for biopsy codes
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)
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.
incisional>punch>shave
Name that code 11755
nail biopsy
Name that code 40490
lip bx
Name that code 54100
penis bx
Name that code 56605
vulva bx
Name that code 67810
eyelid margin incisional bx
Name that code 69100
ear bx
what do these codes cover 11300-11313
shave removal codes.
What are the 1700+ codes
AK destruction
What are the 1711+ codes
destruction of benign lesions and warts
what are the 1726+ codes
destruction of malignant lesions
List the three 1700+ codes
17000 1st
17003 2-14 reported for each one
17004 15+
List the two 1711+ codes
17110 up to 14 benign destructions
17111 15+ benign destructions
modifier 24 and 79
unrelated EM (24) in a global period or procedure (79)
modifier 25
EM service unrelated to the main service like with a skin exam and biopsy.
modifier 58
lessor to greater procedure or staged excision in global period.
modifier 78
additional surgery due to complications of the original surgery.
modifier 79
unrelated surgery in the global period of a previous unrelated surgery.
modifier 59
multiple separate identifiable procedures on same day
codes 120xx
simple & layered repairs
codes 131xx
complex repairs
17311 code
Mohs 1st layer face
17312 x n code
subsequent mohs stages face
17313 code
Mohs first layer trunk extremities
171314 x n code
subsequent mohs stages trunk extremities
17315 x n
n is more than 5 tissue blocks in a layer
Three procedures with 0 day global periods?
Mohs, biopsies, simple repairs
Four procedures with 10 day global period?
Excisions, Incisions, Repairs, destructions
Does the ten day global period include the day of surgery?
No. It is ten days following the day of the surgery.
What is the global period for a flap or graft
90 days
What is unique about the days of a 90day global period?
It is actually 92 days Starting the day before the surgery.
If you remove a soft tissue tumor can you bill for an intermediate and/or complex repair.
Not intermediate as is already in the excision code for soft tissue tumors.
What is the most common modifier code we use in the office.
25 separately identifiable E/M on the day a procedure was done.
What is the second most common modifier we use in the office
51 multiple procedures on the same day.
59 distinct different procedures the same day
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.
57
What goes into the calculation of an RVU?
work + practice cost + malpractice
What is a 99024 code
post op visit in a global period no billing done.
G201x
992xx
994xx
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
