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History of Skin Cancer — Low or Moderate Complexity
I have a question about history of skin cancer and the complexity of the problem. If a patient comes in for follow up for history of skin cancer and the physician does a full skin exam, is the complexity low or moderate.
Is the ICD-10-CM code enough?
I am reaching out to ask if a provider lists the ICD-10-CM code with code description on the encounter under the Assessment and Plan if this is sufficient enough to use as their documentation and would this pass in an audit?
I do not believe this meets the ICD-10-CM guidelines and would like some clarification that I'm not querying erroneously.
Thank you in advance for your response to this matter!
Documenting Occlusions for 2026 Lower Extremity Endovascular Revascularization Coding
The CPT guidelines for the lower extremity endovascular revascularization codes state that a straightforward lesion is a stenosis and a complex lesion is an occlusion. When documenting treatment of an occlusion, must the operative report specify the degree of blockage (for example, 100% or total), or does documentation of the lesion as an occlusion alone support reporting a complex lesion?
ICD-10 – Scar Contracture
Which ICD-10-CM diagnosis code should be reported for a patient undergoing release of a scar contracture on the flexor surface of the left elbow following healing from a third-degree burn?
Anterior Approach Spine Fracture
Good day, my surgeon did a fracture treatment from the anterior approach on the C6-C7 spine; however, he did not do a corpectomy. Should I use the corpectomy code with a 52 modifier or an unlisted code? I was thinking of the comparable code as 22319. Thank you.
Modifier for Postoperative Endoscopic Sinus Debridement
If one of our physicians perform a septoplasty and sinus surgery and then the patient comes in the office for a 31237 (endoscopic sinus debridement), would we use a modifier 79 (unrelated procedure in a global period) or 58 (staged/anticipated procedure in a global)?
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