ICD-9 code 173.39 for Other specified malignant neoplasm of skin of other and unspecified parts of face is a medical classification as listed by WHO under the range -MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST (170-176).
The CPT code used for this procedure is 11200. Benign skin tags are cancerous and can be removed easily with OTC therapies, surgical removal or cryotherapy. The procedure is selected according to the severity of the case. The CPT code for benign skin tag is 17110.
ICD-10-CM Code for Excoriation (skin-picking) disorder F42.4 ICD-10 code F42.4 for Excoriation (skin-picking) disorder is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
8 - Other hypertrophic disorders of the skin.
Skin tags. For the first 15 skin tags removed, use code 11200. For each additional 10 skin tags removed, also report code 11201. For example, if you removed 35 skin tags, then you would submit codes 11200, 11201 and 11201.
8: Other hypertrophic disorders of skin.
701.9 - Unspecified hypertrophic and atrophic conditions of skin.
A. You should use code 11200 for any sharp excision (including shaving) of skin tags.
Skin tags are pedunculated benign lesions that vary in size. They are frequently seen together with seborrheic keratoses.
CPT 11200 will be reported when removal of skin tags, multiple fibro cutaneous tags, and any area performed by the physician, including up to 15 lesions. CPT 11201 description – Under removal of skin tags procedures.
A hypertrophic scar is a thick raised scar that's an abnormal response to wound healing. They more commonly occur in taut skin areas following skin trauma, burns or surgical incisions. Treatments include medication, freezing, injections, lasers and surgery.
Fibroepithelial polyp of the skin should be coded to L91. 8 Other hypertrophic disorders of skin by looking up 'tag, skin' in the index.
11400. EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS.
Excisional biopsies include two sets of codes, for excision of benign lesions (codes 11400–11471) or malignant lesions (codes 11600–11646). These codes are for full-thickness removal and should be selected based on the lesion type, the location, and the size of the excision, not the size of the lesion itself.
CPT® Code 11420 in section: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia.
For example, if a provider removes 30 skin tags on a patient, the submitted CPT codes would be 11200 (for first 15 lesions) and 11201 + 2 modifier (for the second 15 lesions).
CPT® Code 17000 in section: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses)
11400. EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS.
Skin tags occur when extra cells grow in the top layers of the skin. They tend to develop when the skin rubs against itself, so are more common in people who are overweight and therefore have folds of skin. They grow both in men and women and are more common in older people and people living with type 2 diabetes.
Similarly, use of an ICD-10 code L82.0 (Inflamed seborrheic keratosis) will be insufficient to justify lesion removal, without the medical record documentation of the patients' symptoms and physical findings. It is important to document the patient's signs and symptoms as well as the physician's physical findings.
For example, if a lesion is excised because of suspicion of malignancy (e.g., ICD-10-CM code D48.5), the Medical Record might include “increase in size” to support this diagnosis. “Increase in size” might also support the diagnosis of disturbance of skin sensation (R20.0-R20.3, R20.8).
Effective from April 1, 2010, non-covered services should be billed with modifier –GA, -GX, -GY, or –GZ, as appropriate.
It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.