Posted on 02. Feb, 2009 by in Hot Coding Topics
You could gain $30 if a shave is also performed.
Treating 17110 as your office’s catch-all skin lesion destruction procedure code could cut $30-$72 from a claim.
As pediatricians look for more ways to maximize services provided in our medical homes, understanding correct coding for skin lesion destruction becomes more important. You could be overlooking providing dermatology procedures that could benefit your bottom line. Here are some to look into — and how to code them appropriately.
Destruction, which means the ablation of tissues of lesions, is by any method. But some methods …
… are code specific, said Robin Linker, CHCA, CPC-I, CPC-H, CCS-P, MCSP, CPC-P, RMC, RMM, CHC, in her “Pediatric Coding Challenges” American Academy of Professional Coders’ presentation. “Often destruction will require more than one code and/or units to report the service:
To tell them apart, try your hand at two cases.
Get to the Bottom of Shaving Lesions
Question 1: A pediatrician destroys 13 molluscum contagiosums on a 5-year-old and shaves a 0.4 cm mole on the patient’s upper arm. Should you use only 17110?
Answer 1: No, thinking you should lump both the shaving and the destructions into one code will cut approximately $30 from the claim. You should report a separate code for the shave.
Shaving of epidermal or dermal lesions, which is literally shaving off a lesion using a sharp instrument, falls under 11300-11313 (“Shaving of Epidermal or Dermal Lesions”), says John F. Bishop, PA-C, CPC, MS, CWS, president of Tampa, Fla.-based Bishop and Associates.
For the above case, based on the lesion’s location (arm) and size (0.4 cm), you would use 11300 (Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5...
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