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06-08-2014 10:31 PM
Hi Gloria. I found this .....
Medicare does not cover cosmetic surgery. Unless a benign skin lesion is a threat to the patient’s health or function, its removal isn’t considered medically necessary. Medicare reimburses skin tag, seborrheic keratosis, wart and flat wart removal only if they are bleeding, painful, very pruritic, inflamed or possibly malignant. Treatment of molluscum and pre-malignant lesions such as actinic keratosis are covered. It is best to document both the patient’s symptoms and your physical findings to avoid denials.
So if it is painful, it is covered. The issue is that your doctor's office CODED it wrong with insufficient information. It has to be submitted with the right code and a lot of offices mess up.
Have a wonderful rest of the evening!
06-09-2014 01:30 AM
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