Mohs Coding
Modifier that is added on to a procedure when it is performed bilaterally
What is modifier 50?
CPT code used when a patient presents for a post-op visit after a cosmetic procedure that is out of the global period.
What is COSMEFU?
How to remove an accidentally populated code (i.e. COSMETICC/ Cosmetic Consult fee)
What is "override/ clear billing"?
The six things necessary for an op-note before a procedure starts
What are: title, vitals, medications, photo, pharmacy, and post op?
Name the state that every MA is from
GA, GA, NJ, OH, VA, MD
The cause diagnosis used for every Mohs surgery
What is "BCC/SCC/Malignant lesion"?
CPT code for any visit with a prescription, surgery order, bloodwork/imaging order, or complex diagnosis requiring referral to an outside provider
99214 OR 99204
A patient undergoes chalazion removal on both upper eyelids, but only one unit of CPT 67801 is billed without a modifier. What’s the error?
What is failing to bill for bilateral procedures correctly using modifier 50?
You use this modifier when billing for a procedure on the right upper OR lower eyelid.
What is modifier RT?
guess the person to your right's favorite color and explain why (If correct, double points)
...
Modifiers used when multiple CPT codes are used for the same Mohs closure?
What is Lid modifier AND 51?
This is the global period for most eyelid surgeries. (i.e. the amount of days with which you can NOT bill for an exam after a procedure)
What is 90 days?
Using only a general ICD-10 code like H02.89 (unspecified eyelid disorder) can result in this.
What is denial of claim?
Reason why CPT codes 67917 (Ectropion) and 67916 (TSE) cannot be billed together
What is bundling?
Eye color of every MA (without looking)
...
If a full-thickness skin graft is harvested from a separate site and used for eyelid reconstruction, the modifier is applied to this CPT code (recipient or donor of the graft)
What is the recipient?
A case where a patient comes in for a post-op visit 10 days after eyelid reconstruction and is found to have a wound infection requiring debridement and antibiotics.
What is billable (with modifier -78, since it’s a return to the OR for a related procedure during the global period)?
The # of lines of CPT code (68840) when all four eyelids are occluded
What are four lines?
Modifier used when multiple procedures are performed at the same time, for unrelated issues (i.e.
What is modifier 59?
The full name of Dr. Bair's dog (Hint: four words)
Pepper Louise Churchill Grant
DAILY DOUBLE (Name ONE CPT or Dx code)
Any of them work
This type of evaluation, occurring during the global period, is billable when it addresses a new, unrelated problem. (INCLUDING MODIFIER)
What is a separately identifiable E/M service with modifier -24?
A surgeon performs an external levator advancement (CPT 67904) on the left upper eyelid and, during the same session, performs a canthoplasty (CPT 67950) on the same eye for additional eyelid support. Both services are billed without modifiers. The claim is denied for unbundling. (What is the coding mistake, and how should it be corrected?)
Correct coding would be 67904–E1, 67950–59–E1
Modifier used when a patient returns to the operating room unexpectedly (i.e. modifier added on to CPT code 67909 in the example of 2 weeks S/P RUL Levator advancement, pt returns for levator adjustment)
What is 78 (unplanned return to the OR)?
Name of the college that Dr. Bair attended (undergraduate)
Ursinus College (PA)