integumentary

  1. S

    Wiki Code 11102 + 11103 Denying Under Physician's Assistant

    Medicaid plan through Banner University Family Complete Care is denying codes 11102 + 11103 with a PA on the claim stating "99353 AHCCCS P353: PROVIDER TYPE NOT ELIGIBLE." The claim pays however when we resubmit under an MD as opposed to the PA originally on the claim. This issue began in Jan of...
    • SamrPen
    • Thread
    • 11102 11103 ahcccs biopsy denial dermatology integumentary phycisian's assistant
    • Replies: 2
    • Forum: Billing/Reimbursement
  2. S

    Wiki Integumentary section

    Someone help me to find the ans I'm really confused. A 15-year-old boy was burned in a fire and assessed to have received burns to 75 percent of his total body surface area. He was transferred to a burn center for definitive treatment. Once stable, he was brought to the OR. Procedure: Due to...
  3. M

    Wiki Coding Complex Repair- Using Add On Code

    I'm coding complex repair of the arm and the amount of area that has been repaired is 26 cm so wondering if I would code that as: 13121, 13122 x 5 units or would I use the add-on code 13122 (ea additional 5 cm or less) 5 different times? The insurance company is United HealthCare. Thanks!
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