I got back a medicare denial for cpt code 11042 am currently asking for forum or guidance on the oper note PREOPERATIVE DIAGNOSIS: Left hand wound. POSTOPERATIVE DIAGNOSIS: Left hand wound. PROCEDURE PERFORMED: Left hand wound debridement and application of Clarix. DESCRIPTION OF PROCEDURE IN DETAIL: After appropriate consent was done, the patient was placed in the lateral decubitus position, the area was prepped and draped in an appropriate fashion. Using a scalpel, debridement was... Read more ..read more

Can my provider still charge 10060 even if he didn't make an incision to drain the abscess? He states, "They were not draining, but I was able to express pus by applying pressure from the abscesses without an incision" Any idea where I can find something in writing for backup? Thanks ..read more

Hi, is anyone experiencing a denial for Ameluz (J7345) from Medicare of Florida? Our denial reason is CO-151 The information furnished does not substantiate the need for this level of service. If you believe the service should have been fully covered as billed, or if you did not know and could not reasonably have been expected to know that we would not pay for this level of service ..read more

A shave and an ED&C were done but the path came back as hyperkeratotic. In this case, can I bill for the shave or the ED&C ..read more

Having a difficult time deciding the cpt code for this case due to dication but I want to lean with 11441 and icd 10 L91.0 modifer RT PREOPERATIVE DIAGNOSIS: Keloid granuloma on the right ear. POSTOPERATIVE DIAGNOSIS: Keloid granuloma on the right ear. PROCEDURE: Resection of keloid granuloma on the right ear. DESCRIPTION OF PROCEDURE IN DETAIL: After appropriate consent was done, a transverse incision elliptical encompassing the entire keloid and entire cartilage, resected off the... Read more ..read more

We all know the CPT definition ". . . require layered closure of one or more of the deeper layers of subcutaneous tissue and superficial (non-muscle) fascia, in addition to the skin . . .' Does this mean: 1) One or more of the deeper layers of subq. Period. AND ALSO closure of the superficial fascia. i.e. requires superficial fascia to be closed. 2) "Deeper layers" = includes subq and superficial fascia and you only have to close a minimum of one of those deeper... Read more ..read more

Hello again, Please weigh in on whether there is a requirement or recommendation to indicate exactly how many lesion/warts areremoved. I am looking at documentation that appears to have a click box, >15 for wart numbers treated. My thoughts are the an amount should be forthcoming in order to bill 17004. Thanks ..read more

Greetings, I'm currently dermatology and looking at chemical peels. Is it prudent to ask the provider to note the depth, either dermal or epidermal for this procedure? The case that I'm looking at only has the code with the code descriptor next to it. In other words he probably just clicked the box. Also, this is a chemical peel for forearm And hands he doesn't indicate whether it's both hands or both forearms. four arms is plural hand is singular. I have researched online and found guidance... Read more ..read more

Can anyone assist with helping me pick a code for this procedure? Below is the documentation that the provider made and the ICD-10 used is, L72.0: Epidermal cyst. It was not sent for pathology, she didn't drain it, and only a part of the membrane was removed. Cyst Removal: Site(s): Medications & allergies reviewed and no contraindications to procedure are identified; informed consent explained to and signed by patient. The site is cleansed with chlorhexidine and alcohol swabs. A 3ml... Read more ..read more

osteomyelitis of coccyx and large sacral buttock decubitus ulcer stage 4 extensive excisional debridement of skin, subcutaneous, fascia, muscle and bone with coccygectomy. are debrided 23x17x6.5cm finding of necrotic tissue present extending from lower back to upper thigh bilaterally and extends into muscle. coccyx infected and excised entirely. Electrocautery to excise the necrotic skin edge and subcutaneous tissue, fascia and muscle. removal of coccyx and surrounding tissue rongeur... Read more ..read more