Wiki MOHS Surgery Coding

[tholcomb]

Good morning Coders,

I have a question regarding MOHS surgery patient has Medicare, had MOHS done to right lateral medial cheek, and Right medial cheek the claim was coded below, Medicare is denying line 8 14040 stating that services already processed for payment line 4 there is 2 different sites any suggestions

1)17311
2)17312
3)17312-59
4)14040
5)17311-59
6)17312-59
7)17312-59
8)14040-59

Thank you,
TH

 

[johnmeyer]

I think I see why Medicare doesn't want to pay for the 14040-59. According to the definition for 14040, there is no difference between lateral medial cheek and medial cheek; all it covers is cheeks in general. I really don't think Medicare will pay for the extra 14040 for this reason.

 

[tholcomb]

Thank you John I asked to appeal the claim along with the medical record.

 

[johnmeyer]

No big. Hope Medicare will reconsider.