Sample Cryosurgery Coding for Treatable Lesions using the CryoPen Benign Lesion CPT Code: 17110(up to 14) or 17111(15 or more) Premalignant Lesion CPT Code: 17000(1st) or 17003(2-14) 17004 (15 or more) Note: Do not report 17004 in conjunc- tion with 17000-17003 Skin Tags CPT Code: 11200(up to 15) or 11201(each add.
J09.X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J09.X2 became effective on October 1, 2021. This is the American ICD-10-CM version of J09.X2 - other international versions of ICD-10 J09.X2 may differ.
J09.X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J09.X2 became effective on October 1, 2021.
2022 ICD-10-CM Diagnosis Code B07.9 B07.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM B07.9 became effective on October 1, 2021.
ICD-9 Code Cryotherapy (17340; Table 7)) is usually used to treat acne, either with liquid nitrogen or CO2 slush ice. It is not a destruction term and should not be used for destruction of AKs with liquid nitrogen (17000, 17003, 17004). Although you used cryosurgery, you should not use the 17000 codes.
CPT code 17110 should be reported with one unit of service for removal of benign lesions other than skin tags or cutaneous vascular lesions, up to 14 lesions. CPT code 17111 is also reported with one unit of service representing 15 or more lesions.
If the ob-gyn destroys two small lesions, you would usually report 56501. But if he destroys two invasive lesions, the physician might consider this extensive and use 56515. Generally, however, destroying more than three lesions places you in the extensive range, and you would submit 56515.
17000 is for the first lesion. If up to 14 lesions are fulgerated you would use 17000 (first lesion) AND 17003 (2nd thru 14) and for 15 or more you would only use code 17004. Code 17110 is used just once for up to 14 lesions, if 15 or more then you would use 17111.
17110What Current Procedural Terminology (CPT®) code is used to report cryotherapy of warts? To report destruction of common or plantar warts, flat warts, or molluscum contagiosum, report CPT code 17110 or 17111 depending on the number of lesions removed.
CPT 17110 requires a 10-day post-surgery period, included in the rate, and modifier 25 with grade and management code.
In December 2007, an American Medical Association (AMA) CPT [Current Procedure Terminology] Assistant Newsletter article was published indicating that a skin-sparing mastectomy should be reported with CPT* code 19304, Mastectomy, subcutaneous.
CPT® Code 17004 in section: Destruction Procedures on Benign or Premalignant Lesions of the Integumentary System.
When billing for non-covered services, use the appropriate modifier. Procedure codes 10060 and 10061 represent incision and drainage of an abscess involving the skin, subcutaneous and/or accessory structures.
CPT 17110 and CPT 17111 may not be reported together. Medicare will not pay for a separate E/M service on the same day dermatologic surgery is performed unless significant and separately identifiable medical services were rendered and clearly documented in the patient's medical record.
The 17000 code is separated from the biopsy charge and is the primary code for the 17003 CPT code so no additional modifier is needed for the charges to process.
CPT® Code 17000 in section: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses)
09/2012 - CMS translated the information for this policy from ICD-9-CM/PCS to ICD-10-CM/PCS according to HIPAA standard medical data code set requirements and updated any necessary and related coding infrastructure. These updates do not expand, restrict, or alter existing coverage policy.Implementation date: 01/07/2013 Effective date: 10/1/2015. ( TN 1122 ) ( TN 1122 ) (CR 7818)
05/2016 - This change request (CR) is the 7th maintenance update of ICD-10 conversions and other coding updates specific to national coverage determinations (NCDs). The majority of the NCDs included are a result of feedback received from previous ICD-10 NCD CR7818, CR8109, CR8197, CR8691, CR9087, CR9252, and CR9540. Some are the result of revisions required to other NCD-related CRs released separately. Edits to ICD-10 and other coding updates specific to NCDs will be included in subsequent, quarterly releases as needed. No policy-related changes are included with these updates. Any policy-related changes to NCDs continue to be implemented via the current, long-standing NCD process. ( TN 1665 ) (CR9631)
03/2021 - This Change Request (CR) constitutes a maintenance update of ICD-10 conversions and other coding updates specific to NCDs. These NCD coding changes are the result of newly available codes, coding revisions to NCDs released separately, or coding feedback received. ( TN 10624 ) (CR12124)
Salvage Cryosurgery of Prostate After Radiation Failure. Salvage cryosurgery of the prostate for recurrent cancer is medically necessary and appropriate only for those patients with localized disease who:
Cryosurgery of the prostate gland, also known as cryosurgical ablation of the prostate (CSAP), destroys prostate tissue by applying extremely cold temperatures in order to reduce the size of the prostate gland. It is safe and effective, as well as medically necessary and appropriate, as primary treatment for patients with clinically localized prostate cancer, Stages T1-T3.
The 2022 edition of ICD-10-CM J09.X2 became effective on October 1, 2021.
J10.01 Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia. J10.08 Influenza due to other identified influenza virus with other specified pneumonia. J10.1 Influenza due to other identified influenza virus with other respiratory manifestations.
Destruction of lesion (s) penis (i.e. condyloma, papilloma, molluscum contg, herpetic vesicle), simple.
Destruction of lesion (s) anus (i.e. condyloma, papilloma, molluscum contag. herpetic vesicle), simple.
CPT ® provides different code sets to report excision of benign (11400-11471) and malignant (11600-11646) skin lesions/neoplasms. The codes within each set are differentiated broadly by site (for example, trunk and arms or legs vs. scalp, neck, hands, feet, and genitalia). A quick review is all you need to familiarize yourself with the code organization. Be sure to read the CPT ® guidelines in the section carefully.#N#Most important: Accurate lesion and margin measurements allow for complete and appropriate coding.#N#CPT ® instructions define the excised lesion diameter as the “greatest clinical diameter of the apparent lesion plus that margin required for complete excision.” This is equal to the greatest lesion size, plus twice the size of the narrowest margin (the length of the incision used to remove the lesion is not a factor). Note: Base your coding on measurements documented prior to excision (rather than taken from the pathology report, for instance).#N#For example, a physician removes a lesion from a patient’s nose along the supra-alar crease. The lesion measures at 1.5 cm at its widest point and there is an allowance of 1.0 cm margin on all sides. The pathology report later confirms the lesion as benign.#N#To calculate, consider the narrowest margin (1.0 cm) x 2 = 2 cm. Add this figure to the widest measurement of the lesion (1.5 cm) for a 3.5 cm total. Based on the location of the lesion (nose) and the total measurement (3.5 cm), the correct code is 11444 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm.#N#CPT ® codes are based on centimeters, so if the physician reports the lesion’s diameter in millimeters, you must convert the measurements (for instance, 1 mm = 0.1 cm). Please notice that some codes are reported in centimeters and others are in square centimeter measurements (0.16 sq in = 1 sq cm).#N#Note: There are plenty of websites (such as www.asknumbers.com) that allow you to easily perform these mathematical conversions online.#N#For example, if a physician documents a benign lesion excision of the upper arm that is 5 mm in diameter (including margins), this converts to 0.5 cm for CPT ® coding accuracy and is reported with 11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less.
The number one rule of neoplasm coding is, “report only what documentation confirms.”. Coding a neoplasm diagnosis requires a pathology report—even if the physician knows what kind of neoplasm it is without one.
There is one exception to this rule: If a lesion is destroyed with lasers, chemicals, or other methods (such as cryosurgery), a pathology report will not be ordered and the physician’s documentation may be used.