Oncology & Hematology Coding Alert

You Be the Coder:

Do This to Ensure Mole Removal Pay

Question: Our provider removed a mole from a patient’s cheek and sent it off to pathology, who determined the specimen was a benign melanocytic nevi. Medicare denied the removal. What can we do to get this covered? Alabama Subscriber Answer: Medicare doesn’t cover cosmetic mole removal, so unless the ordering physician provides a medically necessary reason for the excision and subsequent pathology [...]
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