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
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