Category: Dermatology

Coding Intermediate Repairs
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Coding Intermediate Repairs

January 21, 2021 Question: Can I report CPT 12052 for an intermediate repair of the cheek and nose.  The size of the defect of the cheek is 2.7 cm and the defect on the nose is 1.0cm.  I want to code 12052 for the cheek and CPT code 12051-59.  Is that correct? Answer: If both...

Wedge Excision with Reconstruction
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Wedge Excision with Reconstruction

December 17, 2020 Question: My physician did a full thickness wedge excision with an Estlander flap of the right upper lip with reconstruction utilizing a cheek flap, adjacent tissue transfer. The defect measures 27 sq. cm. The physician used a mucosal graft from the wedge excised from the lip with reconstruction of the vermillion of...

Paring or Cutting
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Paring or Cutting

December 3, 2020 Question: I am new to Dermatology coding and need some help. The previous coder told me for CPT 11055 (paring or cutting) that if more than one is removed we bill the codes 11055 and 11056?  My physician removed 4 calluses by cutting and I billed CPT 11055 and 11056. The claim...

Excision of Cyst
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Excision of Cyst

October 29, 2020 Question: I need some help. The physician made an incision over a cyst was able to remove the contents in total or by piece meal. Would this be considered an excision of a benign lesion? Answer: Yes, it would be considered a benign lesion excision using a code from category 11400-11446. Make...

MOHS with an E/M Service
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MOHS with an E/M Service

October 15, 2020 Question: A Medicare patient came in last week and my doctor did a biopsy on the chest and it came back malignant and meets the Medicare criteria for MOHS surgery. The patient came in today and he performed a level 3 E/M visit and did MOHS surgery in 2 stages. I am...

Lesion on Eyelid
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Lesion on Eyelid

October 1, 2020 Question: Can I report CPT code 67850 when liquid nitrogen is used to destroy a lesion in the lid margin? Answer: The CPT code definition for 67850 specifies the lid margin (Destruction of lesion of lid margin (up to 1 cm). If the lesion is in the margin, report CPT 67850 but...

Diagnosis Code Help
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Diagnosis Code Help

September 17 , 2020 Question: What diagnosis code should I use for malignant melanoma of the left cheek? Answer: You should report C43.39. Since there is not a specific code for the melanoma of the cheek C43.39 (Malignant melanoma of other parts of face) is the appropriate choice. *This response is based on the best...

Actinic Keratoses
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Actinic Keratoses

September 3 , 2020 Question: When using liquid nitrogen to for irritated actinic keratoses what CPT codes should I use? I have been using 17110 and my coder told me that was wrong. Answer: You should report 17000 for the first AK (Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic...

Excision and Cryotherapy Same Day
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Excision and Cryotherapy Same Day

August 20 , 2020 Question: My physician performed a lesion excision on the scalp which measured 0.8 cm and performed cryosurgery on the neck and destroyed 2 lesions. The lesion on the scalp he documented as benign. Can I report both procedures? Answer: Yes, you would report CPT code 11421 for the benign lesion excision...

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