CPT code 17306 is for a 3-stage Mohs micrographic surgery involving up to 5 tissue specimens.
CPT code 17306 is used to describe a three-stage Mohs micrographic surgery procedure for the removal of skin cancer, involving up to five tissue specimens. This code is specifically for cases where the surgeon needs to perform three stages of tissue removal and examination to ensure all cancerous cells are excised, with each stage involving up to five separate tissue samples.
When dealing with CPT code 17306, which pertains to a specific medical procedure, it is essential to understand the potential modifiers that may be applied. Modifiers provide additional information about the performed procedure and can affect reimbursement. Here is a list of possible modifiers that could be used with CPT code 17306, along with the reasons for their use:
1. Modifier 22 (Increased Procedural Services)
- Use this modifier when the work required to perform the procedure is substantially greater than typically required. This could be due to complications or other factors that necessitate additional effort.
2. Modifier 50 (Bilateral Procedure)
- Apply this modifier if the procedure is performed on both sides of the body during the same session.
3. Modifier 51 (Multiple Procedures)
- Use this modifier when multiple procedures are performed during the same surgical session. It indicates that more than one procedure was performed.
4. Modifier 59 (Distinct Procedural Service)
- This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It helps to avoid bundling of services that should be separately reimbursed.
5. Modifier 76 (Repeat Procedure by Same Physician)
- Apply this modifier if the same procedure is repeated by the same physician on the same day.
6. Modifier 77 (Repeat Procedure by Another Physician)
- Use this modifier when the same procedure is repeated by a different physician on the same day.
7. Modifier 78 (Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period)
- This modifier is used when a patient returns to the operating room for a related procedure during the postoperative period of the initial surgery.
8. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period)
- Apply this modifier when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
9. Modifier 99 (Multiple Modifiers)
- Use this modifier when two or more modifiers are necessary to describe the service provided accurately.
Each of these modifiers provides specific information that can impact the billing and reimbursement process for CPT code 17306. Proper use of these modifiers ensures accurate representation of the services provided and can help avoid claim denials or delays.
The CPT code 17306, which involves a specific medical procedure, is reimbursed by Medicare. To determine the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for various services covered by Medicare. Additionally, it is important to consult with your local Medicare Administrative Contractor (MAC) as they are responsible for processing Medicare claims and can provide specific guidance on coverage and reimbursement for CPT code 17306.
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