Codapedia is now a division of Find-A-Code

Forum - Questions & Answers

Apr 27th, 2018 - sharris

Leison removal and repair

Many times provider is indicating intermediate repair or complex repair for under 1cm. In the CPT book under complex repair it indicates "for 1.0cm or less, see simple or intermediate repair".

So in the scenario of lesion removal the provider indicates 1.0 cm of less for intermediate repair after lesion removal Does that mean since the next one down is simple we would not bill a repair?

There is nothing in the CPT book that indicates repairs of .5cm and less during lesion removal. I would think that intermediate or complex of .5cm is not billable?

If this is true, If the lesion is .5 or less but the repair is bigger do we decide based upon the size of the lesion or the size of final defect?

Thank You very much

0 Votes - Sign in to vote or reply.

About Codapedia & Find-A-Code Contact Us Terms of Use Privacy Policy Advertise with Us

Codapedia™/Find-A-Code™ - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain) - Fax (801) 770-4428

Copyright © 2009-2018 Find A Code, LLC - CPT® copyright American Medical Association