Mohs Micrographic Surgery (17311-17315). • Photodynamic Note: Select a CPT code based on lesion diameter plus the most narrow margins required which
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17311. 28, CPT/ HCPCS Codes, OWCP ASC Modifier, Add-on Code (+). 29, 10021, SG. 30, 10022, SG. 31, 10030 293, 17311, SG. 294, 17313, SG. 295, 17360, SG. Simple, intermediate, and complex wound repair codes may be reported with Mohs surgery (CPT codes 17311-17315). Temporary Codes for Use with Outpatient 2, CPT® Code Combinations with Modifier 59 That Require Documentation 102, 17311, MOHS, 1 STAGE, H/N/HF/G, 17262, DESTRUCTION OF SKIN LESI Mohs Micrographic Surgery (17311-17315).
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These three components will guide you in selecting the right CPT code. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Policies may apply. CPT Code Description 17311 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of 2019 CPT-4 and HCPCS Codes Subject to CLIA Edits cludes non-waived and non-PPMP tests 17311. Mohs, 1 stage, h/n/hf/g 610.
CPT® Code 17311 in section: Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain (s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels
procedure codes. In the eviCore provider portal, providers select the therapy type (MSMOT, MSMPT or MSMST). Providers must submit a separate authorization request for each therapy type and eviCore makes a determination on each authorization request submitted.
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Computer edits will reject claims where a secondary code (e.g., CPT code 17312) is billed without the primary code (e.g., CPT code 17311) also appearing on same date of service, same claim. For claims submitted to the carrier or Part B MAC: The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Policies may apply.
17311 ‑17312 head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels
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. Mohs codes 17312, 17314, and 17315 are add-on codes, therefore not subject to reduction. 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.
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This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. CPT CODE AND Description 17311 - Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 The Current Procedural Terminology (CPT ®) code 17311 as maintained by American Medical Association, is a medical procedural code under the range - Mohs Micrographic Surgery Procedures. CPT ® Code Set. 17311 - CPT® Code in category: Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain (s) (eg, hematoxylin and eosin, toluidine blue), primary code (CPT code 17311) on day two. Computer edits will reject claims where a secondary code (e.g., CPT code 17312) is billed without the primary code (e.g., CPT code 17311) also appearing on same date of service, same claim. For claims submitted to the carrier or Part B MAC: A physician billed CPT Code 17311 (Mohs Micrographic Surgery), while on the same date of service CPT Code 88305 (Surgical Pathology, gross and microscopic examination) for the preparation and interpretation of the slides taken during the procedure, was separately billed for a specimen examinationby a different practitioner without a modifier.
CPT/HCPCS Codes . See LCD DERM-008 .
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2021-04-08 · Mohs 17311-17315. Mohs micrographic surgery includes two separate and distinct capacities; surgeon and pathologist. If one of these responsibilities is not done these codes should not be reported. 17311 ‑17312 head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels
999. 0360T. 999. 0361T.
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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. Mohs codes 17312, 17314, and 17315 are add-on codes, therefore not subject to reduction. Effects and Repercussions
CPT Codes Closure Codes; Contracture Submenus Codes CPT Codes and Fees, Effective January 1, 2015: Surgery, Part 1 (10000-29999) Surgery, Part 2 (30000-49999) Surgery, Part 3 (50000-69999) Assistant Surgery Guide: Radiology: Pathology and Laboratory: Evaluation & Management, Medicine, Physical Therapy: Commission Assigned Codes: N.C. Industrial Commission Assigned Codes 99202 CPT Code Description. 99202 CPT Code: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of the total time is spent on the date of the encounter.
Jan 1, 2021 CMAP Addendum B - OPPS Payment Type by Procedure Code. Effective 17311. Mohs 1 stage h/n/hf/g. T. 05053. 6.3308. $524.17. APC.
CPT Code Description 17311 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of Codes 17311-17314 define “up to five tissue blocks.” If a single stage must be divided into more than five blocks, you may report an add-on code for each additional block beyond the initial five. Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes.
17312 applies Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs [includes codes 17313, 17314] These codes are used for the removal of foreign material and –A shave is defined by CPT® as the sharp removal by •17311 –17312 Head, neck, hands, feet, genitalia •17313 –17314 Trunk, arms, or legs •17315 Each additional block after the first 5 tissue blocks 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® codes: 17311 ICD-10-CM code: C44.311.