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The method used by a physician to obtain a lesion biopsy depends on what?
size and type
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To properly code lesion excision you must know the behavior and the narrowest margin about the lesion and what else?
site, number, and diameter
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When coding 3 biopsy of the skin preformed at the same visit what would the code be?
11000, 11101 x 2
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Excision defined as full thickness would be through what layer of skin?
dermis
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Which modifier indicates a significant separately identifiable E/M service?
-25
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What 2 items are needed to correctly code for local treatment of burns, % of body surface, and depth of burn?
1st, 2nd, 3rd
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When a excision is being preformed the margin refers to what?
Narrowest margin required to adequently excise the lesion based on the physcians judgement.
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The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection?
Shaving of epidermal or dermal lesion.
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Incision and drainage codes are divided into subcategories according to what?
Condition for which the procedure is being performed.
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To correctly code lesion excision you must know the behavior benign or malignant as well as the site and ____ and ____ of the lesion?
number and size
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A fine needle aspiration of the breast with out imaging.
10021
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Destruction of 7 actinic keratoses.
17000-17003 6 units (7-1=6)
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Simple repair of a superficial wound of the nose measuring 5.2 cm.
12014
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Removal of 37 skin tags by electro surgical destruction.
11200, 11201 3 units (37-15=22)
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Suction lipectomy of the lower right.
15879-RT
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Suture of superficial of cheek 1 cm laseration, one 3 cm, one 2 cm.
12014 (1+3+2=6 cm)
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Excision of a pilonidal cyst-simple.
11770
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Split thickness skin graft, right thigh to right lower extremity. (with modifier)
15100 -58
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Do not use this modifier for skin tag codes because skin tag codes are based on the number of lesions removed.
-51
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Patient presents for a excision of sacral pressure ulcer with ostectomy with primary suture.
15933
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Excision of 3 malignant lesions, 2.4 cm lesion of the leg, 3.2 cm lesion on the back and 1.6 cm lesion on the lip.
11604, 11603, 11642 (longest-shortest)
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A established patient has a simple removal sutures preformed by the nurse, the physician did not preform the initial repair.
99211
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A excision of left great toe nail and matrix complete for permanent removal.
11750 -TA (modifier)
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Excision benign lesion on chest 0.4 cm with simple closure.
11400
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