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A claim is reviewed for MOHS surgery on the foot that was performed in 1 stage with 6 tissue blocks. The claim was reported with 17311, 17312-51, 17312-51. Is this correct

User Ritratt
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1 Answer

23 votes
23 votes

Answer:

17311, 17315

Explanation:

Explanation,

  • Mohs surgery, also known as chemosurgery, created by a general surgeon, Dr. Frederic E. Mohs, is performed to remove complex or ill-defined cutaneous malignancy.

List Of CPT Codes For Mohs Surgery

CPT Code 17311 and CPT Code 17313 are the base codes for the range of this surgery. CPT Code 17312, CPT Code 17314, and CPT Code 17315 are the add-on codes for this range.

Description Of CPT Code 17311

  • Moh’s micrographic technique, including removal of all gross tumor, surgical excision to 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 tissue blocks

Description Of CPT Code 17315 (addon)

CPT Code 17315 may be used to report each block after the first 5 blocks for any single-stage.

  • Moh’s 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 stains(s) (eg. Hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure)

Extras

Description Of CPT Code 17312 (addon)

Each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)

Description of CPT Code 17313

Moh’s 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 stains(s) (eg. Hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks

Description Of CPT Code 17314 (addon)

Each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure).

User Lucyna
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