Delve Into Dermatology Coding Intricacies With Our Expert Audio Conferences
Most payers will not cover cosmetic scar revisions, so you should make sure the dermatologist establishes medical necessity for the procedure.
In many cases, patients with function-impeding scars present with scars around their eyes or mouth. For example, a patient with a basal cell carcinoma on the lip may have the dermatologist remove the carcinoma. The scar that forms as a result of that excision impedes the patient’s speech and eating, and therefore the dermatologist decides that the removal is medically necessary.
The dermatologist removes the scar, which is two centimeters long. You should report the procedure based on the location of the carcinoma that the dermatologist removed and the size of the excision. Measure each excision at the widest diameter, including any margins. So you would report 11442 (Excision, other benign lesion including margins, except skin tag [unless listed elsewhere], face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm), coding experts say.
In the situation above, the scar revision is cosmetic but the revision is part of the aftercare process.
Attending audio conferences about the hottest dermatology topics like this can do more than simply ensure your coding accuracy and decrease denials — it can safeguard your payments. In this tough economy, every dollar counts. Get real-life solutions to your toughest coding challenges with dermatology audio conferences.
You’ll find such conference topics as:
CPT® 2013 Update: Find Out How You Will Need to Alter Your Dermatology Claims Next YearTis that time of year. Check out the latest CPT information to make sure your gastroenterology practice is up to date.
OIG Report: Pay Attention to E/M Levels, G Modifiers, and More, OIG WarnsThe Office Inspector General (OIG) is hard at work, issuing a flurry of new testimony and decisions to guide healthcare practices. Here’s a look at a few of the decisions that may affect your dermatology practice.
ICD-10: Here’s What Dermatology Documentation You Need When Your Diagnosis System ChangesThe ICD-10 implementation date (Oct. 1, 2014) may sound far away, but in terms of the prep work your dermatoogy practice should be doing to get ready, it’s right around the corner.
- And more!
Bottom line: You don't have time to weed through the never-ending onslaught of information about dermatology coding and coverage, so let us do it for you.