icd 10 code for status post mohs surgery

Full Answer

What is the CPT code for Mohs surgery?

Step 2: Identify Location. CPT® categorizes Mohs procedures by location: For lesions of the head, neck, hands, feet, and genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels, look to code 17311 and add-on code 17312.

What is the Mohs code for lesions of the trunk?

For lesions of the trunk, arms, and legs, select code 17313 and add-on code 17314. Regardless of location, you might also need to report add-on code 17315, as explained in the Mohs Code Definitions sidebar. How Many Stages?

How is MOH's surgery for removing skin cancer coded?

The Moh’s surgery for removing skin cancer will be coded with the appropriate skin cancer diagnosis. Depending on the size of the wound left and the location of the surgical wound, reconstruction may be necessary.

What is the ICD 10 code for surgical aftercare?

Z48.81 ICD-10-CM Diagnosis Code Z48.81. Encounter for surgical aftercare following surgery on specified body systems 2016 2017 2018 2019 Non-Billable/Non-Specific Code. Applicable To These codes identify the body system requiring aftercare.

What is the ICd 10 code for wound closure?

Encounter for planned postprocedural wound closure 1 Z48.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z48.1 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z48.1 - other international versions of ICD-10 Z48.1 may differ.

When will the ICD-10 Z48.1 be released?

The 2022 edition of ICD-10-CM Z48.1 became effective on October 1, 2021.

What is a Z40-Z53?

Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state. Type 2 Excludes.

What is the Mohs code for frozen biopsy?

11100-59 (for the biopsy) 88331-59 (for the frozen section of the biopsy) Stains. Mohs surgery includes “routine stains,” such as hematoxylin and eosin (H&E) or toluidine blue. If the physician performs an additional, atypical stain, you may report the appropriate special stain code.

What is the documentation required for Mohs surgery?

When reporting Mohs surgery for treatment of skin cancer, documentation must confirm that a single provider acted as both the surgeon and pathologist. From there, you need only know the location of the treated lesion, plus the number of “stages” and required tissue blocks, to select an appropriate code.

What is the exception to the CPT rule?

The exception to this rule occurs when there is “no prior pathology confirmation of a diagnosis, ” according to CPT®. In such a case, the same-day biopsy (11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion, +11101 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure) ), and frozen section pathology (88331 Pathology consultation during surgery; first tissue block, with frozen section (s), single specimen) may be reported separately, in addition to the Mohs surgery. You must append modifier 59 Distinct procedural service to the biopsy and pathology codes to confirm these procedures are not a routine part of the Mohs procedure.

What is the second stage of squamous cell carcinoma?

Scenario 2: The patient presents with a squamous cell carcinoma of the nose. After prepping the patient and site, the physician removes the carcinoma (first stage) and divides the stages into six tissue blocks for examination. Upon microscopic examination, the physician finds there are positive margins. He removes the positive margin with another excision (second stage), which is divided into three tissue blocks for examination. Upon microscopic examination, the physician finds the margins are negative.

What is the code for a head neck surgery?

For lesions of the head, neck, hands, feet, and genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels, look to code 17311 and add-on code 17312.

How many tissue blocks are there in a stage?

Codes 17311-17314 define “up to five tissue blocks.” If a single stage must be divided into more than five blocks, you may report an add-on code for each additional block beyond the initial five.

Can a surgeon code multiple lesions?

If the surgeon/pathologist uses the Mohs technique on multiple lesions during the same session, code for each lesion separately.