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E/M Leveling on a Recurrent Keloid
The patient has a recurrent keloid following surgical excision and is largely asymptomatic, with only occasional pruritus and burning. Does this fall under low or moderate medical decision making.
Coding 61750 vs. 61751 for a Stereotactic Biopsy
We struggle with the code description for CPT 61750 vs 61751. Our providers load MRI and/or CT scans to a stereotactic navigation machine during surgery for Stereotactic biopsy, aspiration, or excision of a tumor. Which code would be correct when an MRI scan is used during surgery? The scan was done prior to going to the OR.
Coding a Flap after Mohs Surgery
A patient was seen by a dermatologist in their clinic for a MOHS procedure. After completion of MOHS, the patient went to the ambulatory surgical center for our ENT provider to perform CPT 14060. Since the ENT did not perform the MOHS excision but did perform the flap, would a 52 modifier have been appropriate since the opening excision was performed by a different specialty at a different location?
CMC Joint Injections
My hospital coder recently told me that I should not bill CMC injections as 20605 but rather 20600. I remember during the conference that 20605 is a justifiable code for thumb CMC joint injections. Can you verify that this is correct and offer me some guidance on what to present to the hospital coder?
Denial - 19371
We received a denial for 19371 when billed with 19342 for an implant exchange to a smaller implant. Is the denial correct?
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