CPT code 11640 is for the excision of a malignant lesion on the face, ears, eyelids, nose, or lips, measuring less than 0.5 cm.

Always good to hear recaps, bc I’ve always planed both sides before pulling out the jointer, and think I’ll try it this way now!

Thanks for telling us that the edges of our lumber would have no tear out if we mill it according to the direction of its grain. My uncle relies on many timber-based materials to make the frames for his bedroom windows. I hope he checks out this detail before making a deal with the right supplier eventually. https://mfcestimating.com/multifamily-lumber-takeoffs/

Twisted boards can be the toughest to get flat on a jointer because they tend to shift as you pass them over the cutter head. To combat this, I first use a hand plane to knock down the high corners. It takes just a minute and makes the flattening process much easier. I also use my tablesaw as a flat reference surface for boards longer than my jointer bed.

CPT code 10060 is for the drainage of a skin abscess, a procedure to remove pus and relieve pressure from an infected area.

CPT code 11423 is for the excision of a benign lesion including margins on the face, ears, eyelids, nose, lips, or mucous membrane, measuring 2.1-3 cm.

CPT code 10140 is for the drainage of a hematoma or fluid, a procedure to remove accumulated blood or fluid from a specific area.

CPT code 11012 is for the debridement of skin and bone at a fracture site, ensuring proper healing and preventing infection.

Keep in mind the cutterhead on a jointer is below a board, while on a planer it’s above. On either, the part of the cutterhead that cuts spins the opposite direction the board is moving.

CPT code 11463 is for the removal of a sweat gland lesion. It specifies the procedure for excising these types of skin lesions.

I found your tip quite useful when you told us to acclimate the lumber to our shop for a couple of days first after buying it to avoid making the wood warp after moving it from one location to another. I enjoy wood crafting, so I was thinking of challenging myself by making my furniture once I get the wood I need to use as the material for it. I’ll keep this in mind while I look for a nearby lumber yard that I can go to for my material supply soon. http://adamslumber.com

CPT code 11646 is for the excision of malignant skin lesions on the face, ears, eyelids, nose, or lips, measuring over 4 cm, including margins.

When billing for the CPT code 28190, which pertains to the removal of a foot foreign body, several modifiers may be applicable depending on the specific circumstances of the procedure. Below is a list of potential modifiers that could be used:

CPT code 11623 is for the excision of malignant skin lesions on the face, ears, or scalp, measuring 2.1 to 3 cm, including margins.

CPT code 11000 is used for the debridement of infected skin, which involves the removal of dead or damaged tissue to promote healing.

TIP: CUT UP LONG BOARDSThe longer a board is, the more material you’ll have to remove to get it flat — especially if there are any cups or twists.

Milling also exposes the inner, more moisture-laden parts of a board. And as that newly exposed moisture is released… yup — the board will warp.

It’s a pretty straightforward process. But there are a few things to know to get it right — not just for making boards square, but for keeping them that way.

Love your videos and your 8&1 dovetail guide. I noticed on your milling video a discrepancy of how you illustrated how the planer mimics the opposite face of the cutter head. Unless I am misinterpreting what you are saying. Your illustration shows it in a mirror fashion not a parallel. I love your content and don’t mean to be a troll. Just noticed it and thought it would be helpful to others. Keep up the killer content.

A technique for reducing snipe, that has worked well for me in the past, is while ‘catching’ the board on the outfeed side, attempt to counteract the increasing load on the table as the board emerges from the planer, and gradually pull up on the board. It is especially helpful if you can apply a small upward force so that when the back end of the board passes the first roller the upward force on the end of the board keeps it in contact with the table. I have never seen this hint, but I’m sure this isn’t the first time someone has tried this. I find it quite effective… at least with my Dewalt 735 planer.

Place a board cupside-down on a flat surface. Wipe down the non-cupped side with a wet rag, then set something heavy on it and leave it overnight.

CPT code 28190 is reimbursed by Medicare, but the specifics of reimbursement can vary based on several factors. The Medicare Physician Fee Schedule (MPFS) outlines the payment rates for services covered under Medicare Part B, including CPT code 28190. However, the final determination of reimbursement is often made by the Medicare Administrative Contractor (MAC) for your region. MACs are responsible for processing Medicare claims and can provide detailed information on coverage policies and any potential local variations in reimbursement for CPT code 28190. It is advisable to consult the MPFS and your regional MAC for the most accurate and up-to-date information regarding reimbursement for this specific code.

4. Modifier 76 - Repeat Procedure by Same Physician Applied when the same procedure is performed more than once by the same physician on the same day.

If it works for your project, cut long boards to their rough lengths with a chop saw or circular saw first, and keep some money out of the dust collector.

Obviously, this depends on how flat a board is. But remember: Even a super flat board can warp when you bring it to your shop.

My biggest challenge is having a small shop, since I don’t have the room for a tablesaw or bandsaw. What are the most reliable ways to get that 4th side without one?

CPT code 11400 is for the excision of a benign lesion including margins, measuring 0.5 cm or less, on the trunk, arms, or legs.

Think of it like petting a cat. Pet it in the direction the fur lies, and it stays flat. But pet against the fur, and that cat will look like it’s coming out of a three day catnip bender.

CPT code 11644 is for the excision of malignant skin lesions on the face, ears, eyelids, nose, or lips, measuring 3.1 to 4 cm, including margins.

CPT code 11421 is for the excision of a benign lesion on the face, neck, or scalp, including margins, measuring 0.6 to 1.0 cm.

CPT code 11420 is for the excision of benign skin lesions on the head, face, neck, or scalp with margins of 0.5 cm or less.

Feeding a board through a jointer or planer against the grain can chip off pieces of wood instead of cleanly severing the fibers.

You’ll more than likely have to re-mill resawn boards. But you can clamp them together overnight with the newly cut faces facing out. This should help mitigate the cupping.

As you make multiple passes (which you should always do), any remaining pencil lines will show the low/high spots that haven’t yet been cut.

CPT code 11470 is for the removal of a sweat gland lesion, a procedure often performed to treat conditions like hidradenitis suppurativa.

CPT code 11107 is for each additional or separate incisional biopsy of the skin, used for billing and documentation in healthcare.

With the jointed edge (Side 2) against the table saw fence, cut the board to its rough width. Leave a bit of material for final milling the next day.

CPT code 11642 is for the excision of a malignant skin lesion on the face, ears, eyelids, nose, or lips, measuring 1.1 to 2.0 cm.

CPT code 11643 is for the excision of malignant skin lesions on the face, ears, eyelids, nose, or lips, measuring 2.1 to 3 cm, including margins.

CPT code 10081 is for the drainage of a pilonidal cyst, a procedure to remove fluid or pus from a cyst located near the tailbone.

Love your videos and your 8&1 dovetail guide. I noticed on your milling video a discrepancy of how you illustrated how the planer mimics the opposite face of the cutter head. Unless I am misinterpreting what you are saying. Your illustration shows it in a mirror fashion not a parallel. I love your content and don’t mean to be a troll. Just noticed it and thought it would be helpful to others. Keep up the killer content.

CPT code 11462 is for the removal of a sweat gland lesion, a procedure often performed to treat conditions like hidradenitis suppurativa.

CPT code 11622 is for the excision of a malignant skin lesion, including margins, on the face, ears, eyelids, nose, or lips, measuring 1.1 to 2 cm.

CPT code 11011 is for the debridement of skin and muscle at a fracture site, ensuring proper healing and preventing infection.

CPT code 10080 is for the drainage of a pilonidal cyst, a procedure to remove fluid or pus from a cyst near the tailbone.

Account for losing ¼ inch to ½ inch of material to milling — so buy boards at least ¼ inch thicker than the final dimensions you're after.

A technique for reducing snipe, that has worked well for me in the past, is while ‘catching’ the board on the outfeed side, attempt to counteract the increasing load on the table as the board emerges from the planer, and gradually pull up on the board. It is especially helpful if you can apply a small upward force so that when the back end of the board passes the first roller the upward force on the end of the board keeps it in contact with the table. I have never seen this hint, but I’m sure this isn’t the first time someone has tried this. I find it quite effective… at least with my Dewalt 735 planer.

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CPT code 11102 is for a tangential biopsy of a single skin lesion, used by healthcare providers for billing and documentation purposes.

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When only one roller is making contact with a board, the uneven pressure can tilt it up into the cutterhead. That’s why snipe usually occurs at the ends of boards.

CPT code 11621 is for the excision of a malignant skin lesion, including margins, on the face, ears, eyelids, nose, or lips, measuring 0.6 to 1 cm.

CPT code 28190 is the procedure for the removal of a foreign body from the foot. This code is used when a healthcare provider performs a surgical intervention to extract an object that has become lodged in the foot tissue, which may include items like splinters, glass, or other debris. The procedure typically involves making an incision to access the foreign body and ensure its complete removal to prevent infection or further complications.

CPT code 11005 is for the debridement of the abdominal wall, a procedure to remove dead or infected tissue to promote healing.

CPT code 11101 is used for an additional biopsy of the skin, typically added to the primary procedure to indicate extra biopsies performed.

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Thanks for telling us that the edges of our lumber would have no tear out if we mill it according to the direction of its grain. My uncle relies on many timber-based materials to make the frames for his bedroom windows. I hope he checks out this detail before making a deal with the right supplier eventually. https://mfcestimating.com/multifamily-lumber-takeoffs/

CPT code 11045 is used for billing additional debridement of subcutaneous tissue, typically as an add-on to a primary procedure.

CPT code 11041 is used for the surgical removal of dead or damaged skin tissue, known as debridement, to promote healing.

CPT code 11721 is for the debridement of six or more nails, a common procedure in podiatry to remove damaged or infected nail tissue.

CPT code 11426 is for the excision of a benign lesion on the head, face, neck, or scalp, with margins greater than 4 cm.

CPT code 28190 is for the removal of a foreign body from the foot, helping healthcare providers bill accurately for this procedure.

No, don’t start sucking on the board. Set the face you just flattened on the outfeed table. If you feel slight suction as you lift it, you know it’s dead flat.

If you’re stacking boards, “sticker” them by laying equally thick strips of wood between each board. This lets air circulate around them so moisture can escape evenly.

Since the moisture levels between the lumber yard and your shop are probably different, the boards will likely warp when you bring them home.

CPT code 11620 is for the excision of malignant skin lesions on the head, face, neck, or scalp with margins of 0.5 cm or less.

That’s where planers come in. Planers cut one face of a board parallel to the other — but that doesn’t mean the board will be flat.

6. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period Indicates that a procedure was performed that is unrelated to the original procedure during the postoperative period.

The rollers on planers put down so much pressure, they can temporarily flatten warped boards. But as soon as that board comes out, it’ll spring back to its original shape.

I have fresh milled pine 2×12×20, I am using them for floor joist. Do you recommend treating them with a preservative treatment? And if so, what kind? Thank you.

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TIP: HOW TO DEAL WITH SNIPESnipe is when the cutterheads cut deeper into a section of a board — and it's the curse of lunchbox planers.

CPT code 11424 is for the excision of a benign lesion on the head, face, neck, or scalp, including margins, measuring 3.1 to 4 cm.

CPT code 11641 is for the excision of malignant skin lesions on the face, ears, eyelids, nose, or lips, with margins, measuring 0.6 to 1.0 cm.

Make sure the face you flattened is the side against the fence (the photo above was just a demonstration — Side 1 should face the other way).

As you feed the board over the cutterhead, put all the pressure on the outfeed table as soon as possible. This will keep you from cutting a curve into the board.

Jointing a board after milling only one face leaves no option for grain direction when milling the edge. If you plane the opposite face parallel first, you can reference either face on the fence to allow for grain direction.

3. Modifier 59 - Distinct Procedural Service Used to indicate that the procedure is distinct or independent from other services performed on the same day.

CPT code 11624 is for the excision of skin, subcutaneous tissue, and fascia for malignant lesions, including margins, measuring 3.1 to 4 cm.

Wood is constantly absorbing and releasing moisture from its surrounding environment — which causes it to expand and contract (a.k.a. wood movement).

CPT code 10036 is used for the insertion of a percutaneous device into soft tissue, with the addition of imaging guidance.

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CPT code 11010 is used for the debridement of skin at a fracture site, involving the removal of dead or damaged tissue to promote healing.

I have fresh milled pine 2×12×20, I am using them for floor joist. Do you recommend treating them with a preservative treatment? And if so, what kind? Thank you.

Twisted boards can be the toughest to get flat on a jointer because they tend to shift as you pass them over the cutter head. To combat this, I first use a hand plane to knock down the high corners. It takes just a minute and makes the flattening process much easier. I also use my tablesaw as a flat reference surface for boards longer than my jointer bed.

CPT code 11451 is for the removal of a sweat gland lesion, a procedure often performed to treat conditions like hidradenitis suppurativa.

My biggest challenge is having a small shop, since I don’t have the room for a tablesaw or bandsaw. What are the most reliable ways to get that 4th side without one?

Yes, you can do your milling entirely with hand tools. But it requires quite a bit of skill, a lot more time, and bucketfuls of elbow grease.

So even after boards are acclimated to your shop, you should do a “rough” milling one day, then a final milling a day or two later.

10. Modifier 27 - Multiple Encounters on the Same Date Used when a patient has multiple encounters on the same date of service.

If you don’t do it right, your measurements won’t be accurate, your joinery won’t quite fit, and boards that were once straight will turn into hockey sticks over time.

CPT code 10160 is for the puncture drainage of a lesion, a procedure to remove fluid or pus from a lesion using a needle.

5. Modifier 78 - Unplanned Return to the Operating/Procedure Room Used when a patient requires a return to the operating room for a related procedure within the global period.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. For instance, with CPT code 28190, you can ensure that you are receiving the correct reimbursement for your services. Schedule a demo today to see how RevFind can help you maximize your revenue and minimize losses.

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If the grain lines go straight along that entire edge, you can probably get away with feeding the board either direction.

Once your board is acclimated, it’s time to run it through the jointer and flatten one face. Remember to pay attention to grain direction.

CPT code 11040 is used for the medical procedure of debriding partial-thickness skin, which involves removing dead or damaged tissue.

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I know it’s tempting to get home, mill up your new boards, and start building a project right away. But you’ll pay the price when those perfectly straight table legs suddenly aren’t straight.

Jointing a board after milling only one face leaves no option for grain direction when milling the edge. If you plane the opposite face parallel first, you can reference either face on the fence to allow for grain direction.

The milling process is how you make boards flat, straight, and square — and it’s the crucial first step to any woodworking project.

9. Modifier 22 - Increased Procedural Services Indicates that the procedure required significantly more work than usual.

I found your tip quite useful when you told us to acclimate the lumber to our shop for a couple of days first after buying it to avoid making the wood warp after moving it from one location to another. I enjoy wood crafting, so I was thinking of challenging myself by making my furniture once I get the wood I need to use as the material for it. I’ll keep this in mind while I look for a nearby lumber yard that I can go to for my material supply soon. http://adamslumber.com

Always good to hear recaps, bc I’ve always planed both sides before pulling out the jointer, and think I’ll try it this way now!

CPT code 10040 is a medical code used to describe the procedure for acne surgery, which involves the removal of acne lesions.

CPT code 10180 is used for billing complex wound drainage procedures, ensuring accurate reimbursement for healthcare providers.

I also recommend labeling the faces and edges you’ve already milled. It’s easy to get confused — especially if you’re milling multiple boards at once.

CPT code 11471 is for the removal of a sweat gland lesion, a procedure often performed to treat conditions like hidradenitis suppurativa.

It is essential to select the appropriate modifier(s) based on the specific circumstances of the procedure to ensure accurate billing and compliance with payer requirements.

CPT code 11201 is used for billing the removal of additional skin tags beyond the first 15, typically as an add-on to the primary procedure.

CPT code 11719 is used for trimming any number of nails, providing a standardized way to bill for this routine healthcare service.

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CPT code 11303 is for the shaving of a skin lesion larger than 2.0 cm. It helps in billing and documentation for healthcare services.

CPT code 11001 is used for billing the additional debridement of infected skin, typically as an add-on to the primary procedure.

I’ll cover the most important points below, but here’s a few resources for you to get a solid understanding of the tools involved in the milling process:

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As mentioned above, changes in location can change the shape of boards. Let them sit a few days before milling to save you from trouble later on.

CPT code 11626 is for the excision of a malignant skin lesion, including margins, on the face, ears, eyelids, nose, or lips, measuring over 4 cm.

CPT code 11046 is for debridement of muscle and fascia, used as an add-on to the primary procedure for more extensive cleaning.

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