E524

PDF page 558 / M8

# R081 - Initial cut, including debulking............................................. 6 315.45          7
# E524    - one or more additional cuts, to R081 ......................... add           273.45
      Note:
      1.R081 and E524 are eligible for payment only to physicians with generally accepted
        specialized training in Mohs surgery.
       [Commentary:
       An example of generally accepted specialized training is the successful completion of a
       fellowship accredited by the American College of Mohs Surgery.]
       1.R081 is eligible for payment only when the preparation of slides is rendered or supervised by
         the physician claiming R081 and all microscopic tissue sections are personally reviewed and
         interpreted by the physician claiming R081. If a pathologist interprets or submits a claim for
         analyzing histological slides prepared by the physician claiming R081, R081 and E524 are
         not eligible for payment.
       [Commentary:
       In these circumstances, the physician should instead claim the appropriate fee code for
       excising a malignant skin lesion.]
       2.Closure of the resulting defect by undermining and advancement flaps is included in the
         above fees. If more complicated closure is necessary, the service may be eligible for
         payment using fee codes under skin flaps and grafts.
       Payment rules:
       1.R081 is eligible for payment once per lesion including when excision of the lesion is
         completed over two or more days up to two weeks.

Master, record 1221. Record Layout PDF, page 1.

E52420250401999999990000273450000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.