cheat sheets
One of the things we have trouble with here on cheat sheets, is that they are not specific enough. For example, removal of lesions, usually the office lists only the smallest measure (11300), but the measurement is not listed, and the Dr. just picks that one. It may be a different measurement and the physician is losing revenue by doing this (possible code choices range from 11300-11313). I have found this several times. Another office just had destruction of lesion, vulva (56501) listed on their sheet, but Vulva wasn't written on the sheet, it just said removal of lesion so they used that for EVERYTHING, no matter where the lesion. We had to go back and change all those codes (breast, leg, arm etc) because they used the wrong code. Cheat sheets are great as long as everyone is aware they are just a guide, not a given. They can really mess up things if not kept up to date by an experienced person and the staff understands they are not the final answer.