Forum - Questions & Answers
Skin Tag Removal
We are trying to bill Caresource, a Medicaid HMO for procedures 11200 and 11420. We applied modifier 51 to 11200, which they have stated needs prior auth, which we are trying to get retro. However, code 11420 is stating it bundles? Can someone please clarify if 11420 bundles with code 11200? I do not have that CCI edit book.
Thank you
skin tags
It is not that these codes are bundled it is that your trying to double dip for payment. code 11420 specifically states except skin tags. Therefore if you are removing skin tags you can not bill this code.Code 11200 would cover the entire procedure if you are removing skin tags. If you are removing another type of benign lesion then you would use the 11420. Hope this helps!
Skin Tag removal
If you did do both a skin tag removal and a benign lesion removal use a 59 modifier on the lesser code. Hope this helps.