Wiki 27618

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kimgreen

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Hi!

I work at a Dermatology office as their Coding Specialist. I'm posting a charge for an excision of a Lipoma with the code 27618. My co-worker seems to think an intermediate repair is included in this code? But I was going to post a charge for 12032. I can't find the guidelines on whether the repair is included or not. Please advise! Thanks!!
 
Cpt 27618

kimgreen said:
Hi!

I work at a Dermatology office as their Coding Specialist. I'm posting a charge for an excision of a Lipoma with the code 27618. My co-worker seems to think an intermediate repair is included in this code? But I was going to post a charge for 12032. I can't find the guidelines on whether the repair is included or not. Please advise! Thanks!!
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Intermediate repair is included in these procedures. If you make an incision and excise a lesion you have to close the incision. To report the repair/closure separately would be unbundling.

It's a bit like removing the appendix and billing separately for closing the abdomen. It's only the 10000 codes where separate repairs are sometimes billable which CPT explains very clearly.

By checking your coding edits you should see that 12032 is bundled with 27618 and you cannot bypass the edit because it is inclusive to the procedure.
Your co-worker is correct.
 
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