CPT code 17307 is for an additional stage of Mohs surgery, covering up to 5 specimens.
CPT code 17307 is used to describe an additional stage of Mohs micrographic surgery, which involves the removal of up to five tissue specimens. This code is specifically applied when an extra stage of tissue removal is necessary beyond the initial stage to ensure all cancerous cells are excised.
When using CPT code 17307, which pertains to Mohs micrographic surgery for additional stages up to 5 specimens, the following modifiers may be applicable:
1. Modifier 59 - Distinct Procedural Service: Used to indicate that a procedure or service was distinct or independent from other services performed on the same day. This modifier is often used to identify procedures that are not normally reported together but are appropriate under the circumstances.
2. Modifier 76 - Repeat Procedure by Same Physician: Used when a procedure or service is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure or service.
3. Modifier 77 - Repeat Procedure by Another Physician: Used when a procedure or service is repeated by another physician or other qualified healthcare professional subsequent to the original procedure or service.
4. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Used to indicate that a related procedure was performed during the postoperative period of the initial procedure.
5. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure.
6. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Used to indicate that a laboratory test was repeated on the same day to obtain subsequent (multiple) test results.
These modifiers help provide additional information about the circumstances under which the Mohs surgery was performed, ensuring accurate billing and reimbursement.
The CPT code 17307 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of covered services and their respective reimbursement rates.
Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have localized policies and fee schedules. Therefore, it is advisable to consult the relevant MAC for precise information regarding the reimbursement of CPT code 17307 in your specific area.
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