Category: <span>Dermatology</span>

Pilonidal Cyst Removal and Repair
Post

Pilonidal Cyst Removal and Repair

February 14, 2019 Question: If one of our doctors removes a complex pilonidal cyst that requires a rhomboid flap repair, is the repair part of the code 11772 for complicated excision of the pilonidal cyst?  I did not think so, but I know that each procedure includes the approach, the definitive, and closure, so now...

Skin Tag Removal
Post

Skin Tag Removal

January 31, 2019 Question: One of the doctors removed 4 skin tags by shave, so she wants to code them as shaves of epidermal lesion codes 11300-11313.  Is that correct? Answer: No. The skin tag removal codes 11200-11201 should be reported as they are diagnosis-code specific.  The method of removal is not the driver for...

What is Simple?
Post

What is Simple?

January 17, 2019 Question: The incision and drainage codes 10060-10061 and 10080-10081 have one code for simple and one for complicated.  Does CPT define what is simple and complicated? Answer: No, CPT does not define them.  The AMA states that it is up to the physician’s discretion based upon the complexity of the incision and...

Vitiligo Treatment
Post

Vitiligo Treatment

December 13, 2018 Question: My question concerns what would be the proper code for laser light treatment performed for vitiligo (i.e. Excimer laser)?  Our doctors want to use code range 96920-96922, Laser treatment for inflammatory skin disease (psoriasis).  Coding staff recommends 96900 Actinotherapy (ultraviolet light). Answer: Great question.  The coding staff is correct.  CPT Assistant...

Chemical Peel
Post

Chemical Peel

November 29, 2018 Question: What code should we use for a chemical peel of less than the entire face? Answer: CPT codes 15788 (Chemical peel, facial; epidermis) and 15789 (Chemical peel, facial; dermis) are reported for peels of the entire face.  There is no code for less than the entire face.  When a chemical peel...

Microdermabrasion
Post

Microdermabrasion

November 15, 2018 Question: Is the correct code for microdermabrasion 15780 or some other code? Answer: CPT code 15780 (Dermabrasion; total face) is for total face dermabrasion using a tool that penetrates into the dermis.  Microdermabrasion only involves the epidermis, so CPT code 15783 (Dermabrasion; superficial, any site) is the correct code to report for...

Post

Division and Inset of Flap

November 1, 2018 Question: A patient presents for division and inset of a neck-to-ear pedicle flap.  Should we report 15620 or 15630?  Answer: The CPT codes reported for the division and inset are chosen by the permanent inset site, not the donor site.  So in your case, CPT code 15630 (Delay of flap or sectioning...

Post

Intralesional Injection

October 18, 2018 Question: If intralesional injections are performed multiple times to multiple lesions, are CPT codes 11900 and 11901 reported more than once?  Answer: No.  CPT codes 11900 (Intralesional injection up to and including 7 lesions) and 11901 (Intralesional injection more than 7 lesions) are reported by the number of lesions treated, not the...

Post

Adjacent Tissue Transfer

October 4, 2018 Question: If our docs perform two adjacent tissue transfers on two separate lesions in the same anatomic group by CPT standards, do we add the ATTs together and report one code like with the repair codes?  Answer: No, if two lesions from the same anatomic group are removed and both require separate...

Post

Tissue Block for Mohs

September 20, 2018 Question: I have a question about Mohs blocks.  If I butterfly cut a specimen, divide it into two pieces, and place it on a plate, is that one block or two? Answer: One.  It does not matter how many pieces are placed on a plate.  A block is a plate with tissue...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches