Coding

Question 1

what is a 11102

Answer 1

1st shave biopsy

Question 2

what is a 11104

Answer 2

1st punch biopsy

Question 3

what is a 11106

Answer 3

1st excisional biopsy

Question 4

What is the pattern for biopsy codes

Answer 4

they are all 111 codes starting with 11102 (shave)

odd numbers are additional biopsies for the code before it. The order goes shave (02), punch(04), incisional(06)

Question 5

you report only one primary code for biopsies if more than one type is done the rest are reported as additional biopsy codes. What is the highest to lowest value of primary codes for 111 biopies.

Answer 5

incisional>punch>shave

Question 6

Name that code 11755

Answer 6

nail biopsy

Question 7

Name that code 40490

Answer 7

lip bx

Question 8

Name that code 54100

Answer 8

penis bx

Question 9

Name that code 56605

Answer 9

vulva bx

Question 10

Name that code 67810

Answer 10

eyelid margin incisional bx

Question 11

Name that code 69100

Answer 11

ear bx

Question 12

what do these codes cover 11300-11313

Answer 12

shave removal codes.

Question 13

What are the 1700+ codes

Answer 13

AK destruction

Question 14

What are the 1711+ codes

Answer 14

destruction of benign lesions and warts

Question 15

what are the 1726+ codes

Answer 15

destruction of malignant lesions

Question 16

List the three 1700+ codes

Answer 16

17000 1st
17003 2-14 reported for each one
17004 15+

Question 17

List the two 1711+ codes

Answer 17

17110 up to 14 benign destructions

17111 15+ benign destructions

Question 18

modifier 24 and 79

Answer 18

unrelated EM (24) in a global period or procedure (79)

Question 19

modifier 25

Answer 19

EM service unrelated to the main service like with a skin exam and biopsy.

Question 20

modifier 58

Answer 20

lessor to greater procedure or staged excision in global period.

Question 21

modifier 78

Answer 21

additional surgery due to complications of the original surgery.

Question 22

modifier 79

Answer 22

unrelated surgery in the global period of a previous unrelated surgery.

Question 23

modifier 59

Answer 23

multiple separate identifiable procedures on same day

Question 24

codes 120xx

Answer 24

simple & layered repairs

Question 25

codes 131xx

Answer 25

complex repairs

Question 26

17311 code

Answer 26

Mohs 1st layer face

Question 27

17312 x n code

Answer 27

subsequent mohs stages face

Question 28

17313 code

Answer 28

Mohs first layer trunk extremities

Question 29

171314 x n code

Answer 29

subsequent mohs stages trunk extremities

Question 30

17315 x n

Answer 30

n is more than 5 tissue blocks in a layer

Question 31

Three procedures with 0 day global periods?

Answer 31

Mohs, biopsies, simple repairs

Question 32

Four procedures with 10 day global period?

Answer 32

Excisions, Incisions, Repairs, destructions

Question 33

Does the ten day global period include the day of surgery?

Answer 33

No. It is ten days following the day of the surgery.

Question 34

What is the global period for a flap or graft

Answer 34

90 days

Question 35

What is unique about the days of a 90day global period?

Answer 35

It is actually 92 days Starting the day before the surgery.

Question 36

If you remove a soft tissue tumor can you bill for an intermediate and/or complex repair.

Answer 36

Not intermediate as is already in the excision code for soft tissue tumors.

Question 37

What is the most common modifier code we use in the office.

Answer 37

25 separately identifiable E/M on the day a procedure was done.

Question 38

What is the second most common modifier we use in the office

Answer 38

51 multiple procedures on the same day. | 59 distinct different procedures the same day

Question 39

What code do you use if you are going to do a 90day global period procedure and want to bill an EM code the day of the surgery.

Answer 39

57

Question 40

What goes into the calculation of an RVU?

Answer 40

work + practice cost + malpractice

Question 41

What is a 99024 code

Answer 41

post op visit in a global period no billing done.

Question 42

G201x 992xx 994xx

Answer 42

Teledermatology codes G201x no bill pt will followup either in 24hrs or 7days 992xx real time encounter sychronous 994xx photo sent to md with response asychronous