rkindlund
Networker
We are having a debate in our office about how to pick a code for pre-authorization in the case of "masses." Our general surgeons will see a patient and - prior to surgery - not know for sure whether the patient has a lipoma or sebaceous cyst, for example.
If it is sebaceous cyst we're looking at the 11400 codes (integumentary), but if it is a lipoma we will be doing a code from the musculoskeletal system.
I am inclined to always advise our authorization folks to pre-auth the higher/musculoskeletal code if the doctor is unsure what the "mass" is. Is this what others are doing?
If it is sebaceous cyst we're looking at the 11400 codes (integumentary), but if it is a lipoma we will be doing a code from the musculoskeletal system.
I am inclined to always advise our authorization folks to pre-auth the higher/musculoskeletal code if the doctor is unsure what the "mass" is. Is this what others are doing?