Medical Coding Training — How To Code Lesion Removals

Medical Coding Training — How To Code Lesion Removals



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Medical Coding Training — How to Code Lesion Removals

Lesion removals. This is the skin night, I’m telling you. Okay, “When coding 17…” We must have… maybe some students in our course in the Integumentary System, perhaps?

“When coding 17000, 003 and 004, do you put the number of lesions removed units or do you just list each lesion separately with the 59 modifier? I’ve seen it both ways. I’m thinking of using the units and not the modifier.” Okay, let me turn there…

Okay so here, we see where the bubbling and highlighting helps. And what I’ve highlighted after the semi-colon is first lesion. And then the idented code is the 2nd through 14. Okay and because it uses the word “each”,

if you have… let’s just say, for example, 12 lesions total. 17000 will be what you’ll use for the first lesion. And then 17003, you’ll report times 11 to come up with the individual ones. So that’s how I would do it. I’d put a 11 in that column. Now, as far as the 59 goes, that would be a pair preference, I guess, because you’re going to have them listed as units.

So if you just had two and you have one unit of 17000 and one unit of 17003, I don’t think 59 would really apply because it’s an addon code. So you know, unless the payer specifically told you to do it a different way, I don’t think it’s necessary you know, to do that. But that’s… you know, I’m in the coding world, not the billing world so your mileage might vary there. You know, if anyone has any other opinions, feel free to put it in the chat box. On the board exam, I doubt you’d use a 59 in that case.

Oh, and you asked about the 004. That is when once you hit 15 or more then you use 17004, okay? So if you have… and you’ll only report 1 unit of it. So if you have 20, you’re going to only report one unit of 17004, okay?

And is modifier 51 exempt?

Yes, the 17004 and that’s because of the No Smoking symbol is what I call it.

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Lesion removals. This is the skin night, Iím telling you. Okay, ìWhen coding 17Öî We must haveÖ
maybe some students in our course in the Integumentary System, perhaps? ìWhen coding 17000, 003 and 004, do you put
the number of lesions removed units or do you just list each lesion separately with
the 59 modifier? Iíve seen it both ways. Iím thinking of using the units and not the
modifier.î Okay, let me turn thereÖ Okay so here, we see where the bubbling and
highlighting helps. And what Iíve highlighted after the semi-colon
is first lesion. And then the idented code is the 2nd through
14. Okay and because it uses the word ìeachî, if you haveÖ letís just say, for example,
12 lesions total. 17000 will be what youíll use for the first
lesion. And then 17003, youíll report times 11 to
come up with the individual ones. So thatís how I would do it. Iíd put a 11 in that column. Now, as far as the 59 goes, that would be
a pair preference, I guess, because youíre going to have them listed as units. So if you just had two and you have one unit
of 17000 and one unit of 17003, I donít think 59 would really apply because itís an addon
code. So you know, unless the payer specifically
told you to do it a different way, I donít think itís necessary you know, to do that. But thatísÖ you know, Iím in the coding
world, not the billing world so your mileage might vary there. You know, if anyone has any other opinions,
feel free to put it in the chat box. On the board exam, I doubt youíd use a 59
in that case. Oh, and you asked about the 004. That is when once you hit 15 or more then
you use 17004, okay? So if you haveÖ and youíll only report 1
unit of it. So if you have 20, youíre going to only report
one unit of 17004, okay? And is modifier 51 exempt? Yes, the 17004 and thatís because of the
No Smoking symbol is what I call it. Get more cpc exam tips, medical coding training
and CEU credits. Go to www.codingcertification.org

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