dimanche 24 août 2014

benign lip excision paid, intermediate repair denied.

I coded 11440 and 12051 together and healthfirst NY denied 12051.

A lip lesion excision was done and intermediate repair was required.


They stated they denied the repair (12051) because it its column two of cpt (11440).


I see that is true on the NCCI edits but these two should be the correct codes for excision and intermediate repair of lip.


What do it do?






benign lip excision paid, intermediate repair denied.

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