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please advice , what is the correct CPT code for excision of NON-PRESSURE CHRONIC ULCER OF SKIN OF SITES W UNSP SEVERITY, I billed the CPT code 11423 to Medicare was denied for 'medical necessity'
Excisions are not the usual treatment for an ulcer, which is likely why Medicare has denied this. But in order to validate your coding or advise on a CPT or diagnosis code, we'd to see the operative report for the procedure.
Ulcer DX codes aren't on the 11423 LCD for Medicare. I would look into 11042-11047 as they include removal of chronic ulcers. I'm not sure if it exactly fits your circumstance but it's worth researching into. Excision of pressure ulcers is 15920-15999.