Recent content by heatherbee

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    Wiki GXXXX5

    Does anyone know if this code (if approved) would be able to be used in Dermatology?
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    Wiki benign lesion removal and insurance billing

    Yes, there is no medical necessity. Patients just want them removed. We agree that they should be cash pay as cosmetic not billable to insurance. Once we bill the insurance then it is denied for medical necessity we can't bill the patient. Some had closures billed some didn't. Just wondered...
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    Wiki benign lesion removal and insurance billing

    We started a few years ago billing cyst etc removals as cash pay, they are cosmetic in nature. We have found in the past that we were simply not getting paid for them. Closure would get paid but the benign lesion codes were not and we were writing them off, so we started doing cash pay. The...
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    Wiki Paper Practice-New guidelines ?

    I work for a very old school practice who will not do electronic records, he doesn't care how much he loses. I am being asked to come up with a check box system for the new guidelines. Besides the fact it is very difficult to basically do an electronic record on a two page note, they want it...
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    Wiki Billing E/M codes with new MDM guidlines

    I just took the 2021 E/M Guideline Changes workshop for Dermatology and when it came to doing the case studies I became confused. They were billing high level codes for an OV when a biopsy or surgical procedure was performed. I am confused because we have always been told that with just the...
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    Wiki biopsy codes 11300

    That is what we are doing, but we are getting Medicare denials even after appeal stating we are doing shave removal.
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    Wiki biopsy codes 11300

    My Physician does a lot of the 11300 codes and site specific codes such as 40490 for biopsies. We have not had a problem with payment in the past. Medicare is now denying these codes as not medically necessary. What codes for biopsies do other Physicians use? In my past practices they always...
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    Wiki 17260 codes

    I was at the Inga Ellzey conference in Orlando and she stated for Shave Removals that are malignant to use the 17260 codes. I do have a question however. What if the margins are positive and require excision or MOHS. My Physician frequently does shave removals but only codes them as 11100. I...
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