Zuber T J, Purvis J R
Department of Family Medicine, East Carolina University School of Medicine, Greenville, NC.
J Fam Pract. 1992 Dec;35(6):663-72.
Current medical practice requires physicians to accurately report services provided to patients. Patient billing for debridement and excision procedures involves the selection of specific 1992 Physicians' Current Procedural Terminology codes. Although a site-specific surgical procedure code often yields higher reimbursement than a general procedure code, physicians should select the code that most accurately reflects the procedure performed. This review identifies the codes used to report destruction and excision procedures performed by primary care physicians. Included in this review are skin debridement, burn debridement, excision of benign and malignant lesions of the skin and subcutaneous tissue, cyst and ganglion excision, nail excision, anorectal lesion excision, shave, paring, and skin tag excision procedures, and foreign body removal. The Health Care Financing Administration's relative value units and one state's published Medicaid payment rates are included for each procedure code. Instructions are provided for selecting between multiple coding options when more than one code describes the service provided.
当前的医疗实践要求医生准确报告为患者提供的服务。清创术和切除术的患者计费涉及选择特定的1992年《医师现行程序术语》代码。尽管特定部位的外科手术代码通常比一般程序代码能获得更高的报销，但医生应选择最准确反映所实施手术的代码。本综述确定了用于报告初级保健医生进行的破坏和切除手术的代码。本综述包括皮肤清创术、烧伤清创术、皮肤和皮下组织良性及恶性病变切除术、囊肿和腱鞘囊肿切除术、指甲切除术、肛肠病变切除术、剃除术、削除术、皮肤赘生物切除术以及异物取出术。每个程序代码都包含医疗保健财务管理局的相对价值单位和一个州公布的医疗补助支付率。当不止一个代码描述所提供的服务时，提供了在多个编码选项之间进行选择的说明。
