Wiki Shaving of epidermal lesion coding

[sankoe@keystoneruralhealth.com]

I just want confirmation that I'm billing this correctly. I'm second guessing myself.

Patient presents for mole removal on left upper arm and right upper shoulder. Path came back intradermal melanocytic nevus D22.62 and D22.61 are the dx I will be utilzing based off pathology report. I am billing out:

11300 - D22.62
11300 - D22.61

I do not believe a modifier is required for this but again unsure.

Am I correct?

 

[dkissel]

Depending on your MAC and which insurance you are billing, this should be fine. I would bill quantity 2 on one line with both dx. Our MAC (WPSGHA) LCD allows those dx. The MUE for 11300 for 2019 from CMS is 5 units, no need to bill separately with modifier.