Wiki BC/BS bundled excision & repair, and skin tag removal

[JesseL]

11421-51
12041
11200-59-51

I billed as above for a skin tag removal on the neck and a separate lesion on the neck so two things were removed. The insurance only paid for 11200 (skin tag removal) and not the excision and repair.

I sent them medical records and they still uphelding the denial as bundled.

Did I do something wrong with the coding or are they just denying it just to deny it?

 

[CatchTheWind]

You've got the 59 modifier on the wrong code. It needs to be on the 11421.

 

[JesseL]

You've got the 59 modifier on the wrong code. It needs to be on the 11421.

Really? I saw that on the NCCI edits that 11421 was in column one and 11200 is on column two and I always thought that modifier 59 goes on column 2 codes.

 

[CatchTheWind]

Your eyes must have been deceiving you: 11200 is the column 1 code!

 

[JesseL]

.........you're right. lol

I mailed in with a corrected claim with modifier 59 on the 11421 and 11200. I should've placed it only on 11421 bu hope it gets paid anyway.