Wiki gyn coding question

tassjohn32

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Would you use a modifier 25 on 99386 when also using J2001 and 11200?

Also, if the doc removed 2 skin tags would I us cpt code 11200 twice?
 
You should look in your CPT book.. the 11200 indicates this code is for 1up thru 10 skin tags. If you notice in the HCPC look J2001 is a code for IV route which I doubt is how it was administered. You do not code for lidocaine given for any route other than IV. If the provider performed a skin tag removal at the same time as the annual exam then you would need a 25 modifier on the office visit. and you only bill 1 unit for up to 10 total. You will need an awesome diagnosis code to support the medical necessity for this.
 
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