1. Detailed reporting of procedures performed in an itemized fashion, as well as a description of the itemized procedures in the body of the report, is a must.
2. Detailed reporting would include the sizes and lengths of a mass or lesion, and detailing excision versus debridement.
3. Document complexity by writing a paragraph solely dedicated to explaining the complexity of the procedure to increase procedural services (modifier 22).
4. The medical necessity for a co-surgeon or an assistant (AS, 80, 62) is becoming more important in today’s climate.
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