These codes should be submitted in addition to the primary repair CPT code. For each additional 5 cm beyond the primary CPT code, a quantity modifier should be used. For example, a complex linear repair on the trunk that is 17 cm in length, would require CPT code 13101 and 13102 + 2 in order to bill for the entire length of the closure.

Physician – Procedure Codes, Section 5 - Surgery _____ Version 2008 – 1 (5/15/2008) Page 2 of 303 ANESTHESIA SECTION For moderate conscious sedation, see codes 99143 – 99150, in the Medicine section. This is the only specialty that will continue to be concerned with units for claim submission purposes. The maximum conversion factor is $10.00.

Procedures such as biopsies (CPT codes 11100, 11101), shave removals (CPT codes 11300 through 11313), intralesional injections (CPT codes 11900, 11901, 96405, 96406), and Mohs (CPT codes 17311 through 17314) have no postoperative period. CPT® Code Combinations with Modifier 59 That Require Documentation Submitted with the Claim * Modifier 25 is the appropriate modifier to use with Evaluation and Management (E/M) service codes. Code List History/Updates Updated list for edit documentation requirements. Documentation requirements removed as of 5/17/2010 for highlighted edits. ZIP code 17311 has a small percentage of vacancies. The majority of household are owned or have a mortgage.

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$70.00 $1,317.40. 17312. Jan 1, 2021 CMAP Addendum B - OPPS Payment Type by Procedure Code. Effective 17311. Mohs 1 stage h/n/hf/g. T. 05053.

Health Care Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) codes are required on outpatient claims as indicated below. Outpatient claims for services that are billed without the required HCPCS and/or CPT code(s) will not be paid; and returned to the provider for proper resubmission.

999. 0366T. 999.

Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": CPT codes covered if selection criteria are met: 17311

Mohs micrographic surgery (MMS) had its CPT coding (17311–17315) changed in 2007.

These three components will guide you in selecting the right CPT code. 2017-05-30 appear next to the codes in the integu-mentary section of CPT. The Medicare Physician Fee Schedule Database for 2007 shows the multiple surgery status of 17311 and 17313 as “2,” meaning that they are subject to multiple surgery reduction.
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If one of these responsibilities is not done these codes should not be reported.
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When you’re coding for Mohs, look into the code range set of 17311-17315, according to AMA (American Medical Association) CPT 2020 Professional Book. 1 The first step in choosing a CPT code for Mohs is verifying three key components: anatomic site, stage and tissue block. These three components will guide you in selecting the right CPT code.

Effects and Repercussions Keep in mind that only CPT codes 17311 and 17313 are subject to the MSRR. CPT codes 17313, 17314 and 17315 always allowed at 100 percent of the fee schedule amount. If the Mohs procedure on a single site cannot be completed on the same day and the additional stages were completed on a different day, you must start with the primary code (CPT code 17311) on day two. The surgical pathology codes 88300-88309 and 88331-88332 and 88342 are part of the Mohs surgery and are bundled into 17311-17315.

2017-05-30

0362T. 999. 0363T. 999. 0364T. 999.

$671.89.