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Cryotherapy

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Michele:
Hi,
   You wouldn't need to use the 59 modifier if just billing for the removal of warts/skin tags.  You would just use the code appropriate for the number removed.  You would only use the 59 modifier if you were billing for say 12 warts with 17110 and you also removed a lesion and would be using 17000 that was unrelated to the skin tag removal, then the 59 modifier would be appropriate.

Boy it can get involved!

Thanks
Michele
 

PMBS:
Hi,

I had a question.  I work for a primary care physican and she removed 7 skin tags for a patient.  I billed procedure code 11200 as 7 units to Medicare and they denied it saying that date range not valid with units submitted.  Do you know if it was appropriate to bill using the 7 units?

Michele:
Code 11200 describes removal of up to and including 15 lesions.  So if the Dr removed 7 skin tags you would only bill the 11200 once with 1 unit.  1 Unit indicates up to 15 lesions.

Thanks
Michele

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