Guest guest Posted February 24, 2011 Report Share Posted February 24, 2011 kathy.. icd 9 wart 17110 and it includes all warts multiple lesions i think apply only to below. 17000 for first cryo for ak etc 17003 units # depending on how many more than 15 17004 my two euros grace > > I am using the code 17110 for cryo of a wart. This indicated it's for the > first 14 benign lesions or something like that. I remember reading on one > of these lists that you are still supposed to bill for multiple units on > these codes. I have tried that and been denied. Am I using the wrong code? > Or is it 1-14 lesions period, you get paid the same no matter how many you > do? Or, is it just NJ insurance plans ripping me off again? > > > > > > Kathy Saradarian, MD > > Branchville, NJ > > www.qualityfamilypractice.com > > Solo 4/03, Practicing since 9/90 > > Practice Partner 5/03 > > Low staffing > > > > > > > > CyberDefender has scanned this email for potential threats. > Version 2.0 / Build 4.03.29.01 > Get free PC security at http://www.cyberdefender.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2011 Report Share Posted February 24, 2011 kathy.. icd 9 wart 17110 and it includes all warts multiple lesions i think apply only to below. 17000 for first cryo for ak etc 17003 units # depending on how many more than 15 17004 my two euros grace > > I am using the code 17110 for cryo of a wart. This indicated it's for the > first 14 benign lesions or something like that. I remember reading on one > of these lists that you are still supposed to bill for multiple units on > these codes. I have tried that and been denied. Am I using the wrong code? > Or is it 1-14 lesions period, you get paid the same no matter how many you > do? Or, is it just NJ insurance plans ripping me off again? > > > > > > Kathy Saradarian, MD > > Branchville, NJ > > www.qualityfamilypractice.com > > Solo 4/03, Practicing since 9/90 > > Practice Partner 5/03 > > Low staffing > > > > > > > > CyberDefender has scanned this email for potential threats. > Version 2.0 / Build 4.03.29.01 > Get free PC security at http://www.cyberdefender.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2011 Report Share Posted February 24, 2011 kathy.. icd 9 wart 17110 and it includes all warts multiple lesions i think apply only to below. 17000 for first cryo for ak etc 17003 units # depending on how many more than 15 17004 my two euros grace > > I am using the code 17110 for cryo of a wart. This indicated it's for the > first 14 benign lesions or something like that. I remember reading on one > of these lists that you are still supposed to bill for multiple units on > these codes. I have tried that and been denied. Am I using the wrong code? > Or is it 1-14 lesions period, you get paid the same no matter how many you > do? Or, is it just NJ insurance plans ripping me off again? > > > > > > Kathy Saradarian, MD > > Branchville, NJ > > www.qualityfamilypractice.com > > Solo 4/03, Practicing since 9/90 > > Practice Partner 5/03 > > Low staffing > > > > > > > > CyberDefender has scanned this email for potential threats. > Version 2.0 / Build 4.03.29.01 > Get free PC security at http://www.cyberdefender.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2011 Report Share Posted February 24, 2011 Kathy,Apparently I've been using the wrong code (17110) just like you (unless you are treating a "flat wart").This is what I found in Family Practice Management: "Don’t Get Burned Coding Common Skin Procedures"http://www.aafp.org/fpm/2005/1000/p47.htmlPlantar wart and keratosis destruction. The treatment of common warts, plantar warts, actinic keratosis and seborrheic keratosis by most methods (application of acid, freezing, laser or electrocautery) is covered by “destruction” codes. Use 17000 for destruction of the first lesion. Use add-on code 17003 for each lesion between two and 14. For example, if you treat four lesions, submit codes 17000, 17003, 17003 and 17003. Many times code 17003 is incorrectly submitted only once when more than two lesions are removed, resulting in lost reimbursement. If you remove 15 or more lesions, submit only code 17004.Flat wart and molluscum contagiosum destruction. Use codes 17110 and 17111 for treatment of flat warts and molluscum by any method. If you treat between one and 14 lesions, submit 17110. If 15 or more lesions are treated, submit only code 17111.I never understood the difference between "common warts" and "flat warts" before. Now I know.http://www.skinsight.com/adult/flatWart.htm SetoSouth Pasadena, CA I am using the code 17110 for cryo of a wart. This indicated it’s for the first 14 benign lesions or something like that. I remember reading on one of these lists that you are still supposed to bill for multiple units on these codes. I have tried that and been denied. Am I using the wrong code? Or is it 1-14 lesions period, you get paid the same no matter how many you do? Or, is it just NJ insurance plans ripping me off again? Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing CyberDefender has scanned this email for potential threats. Version 2.0 / Build 4.03.29.01 Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2011 Report Share Posted February 24, 2011 Kathy,Apparently I've been using the wrong code (17110) just like you (unless you are treating a "flat wart").This is what I found in Family Practice Management: "Don’t Get Burned Coding Common Skin Procedures"http://www.aafp.org/fpm/2005/1000/p47.htmlPlantar wart and keratosis destruction. The treatment of common warts, plantar warts, actinic keratosis and seborrheic keratosis by most methods (application of acid, freezing, laser or electrocautery) is covered by “destruction” codes. Use 17000 for destruction of the first lesion. Use add-on code 17003 for each lesion between two and 14. For example, if you treat four lesions, submit codes 17000, 17003, 17003 and 17003. Many times code 17003 is incorrectly submitted only once when more than two lesions are removed, resulting in lost reimbursement. If you remove 15 or more lesions, submit only code 17004.Flat wart and molluscum contagiosum destruction. Use codes 17110 and 17111 for treatment of flat warts and molluscum by any method. If you treat between one and 14 lesions, submit 17110. If 15 or more lesions are treated, submit only code 17111.I never understood the difference between "common warts" and "flat warts" before. Now I know.http://www.skinsight.com/adult/flatWart.htm SetoSouth Pasadena, CA I am using the code 17110 for cryo of a wart. This indicated it’s for the first 14 benign lesions or something like that. I remember reading on one of these lists that you are still supposed to bill for multiple units on these codes. I have tried that and been denied. Am I using the wrong code? Or is it 1-14 lesions period, you get paid the same no matter how many you do? Or, is it just NJ insurance plans ripping me off again? Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing CyberDefender has scanned this email for potential threats. Version 2.0 / Build 4.03.29.01 Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2011 Report Share Posted February 25, 2011 So, tell me: if you are doing a biopsy, how are you supposed to know before the path report comes back whether it is benign, pre-malignant or malignant. Best guess? This has created a lot of conversation and pretty equally divided on the proper way to code. Unfortunately, it seems in 2007 the rules changed. I found this little snippet in the FPM Journal (AAFP) Surgery codes Family physicians will want to take note of several revised codes in the CPT manual's surgery section. Destruction of benign or premalignant lesions. Codes 17000 and 17003 were revised to exclude destruction of benign lesions. A new parenthetical note to these codes instructs physicians to report codes 17110 and 17111 for destruction of common or plantar warts. In conjunction with this, codes 17110 and 17111 were revised to include destruction of benign lesions other than skin tags or cutaneous vascular lesions. So, the proper coding for destruction of any warts or SKs is 17110 for the first 14. Only premalignant or malignant lesions can be coded with the 17000. I guess CPT codes do change. Who knew? Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2011 Report Share Posted February 25, 2011 heh heh THINKING aren;t you Dr edwards? How dare you? I asked this once and was told well you can wait to bill til the path comes b ack Oh that is like sooo effcient and helpful. fits my work flow.(not) Of course howmuch harder is it to do that excision if it is benign vs malignant/ eh? Tougher to suture is it? stoopid. Dumb. I say guessand move on So, tell me: if you are doing a biopsy, how are you supposed to know before the path report comes back whether it is benign, pre-malignant or malignant. Best guess? This has created a lot of conversation and pretty equally divided on the proper way to code. Unfortunately, it seems in 2007 the rules changed. I found this little snippet in the FPM Journal (AAFP) Surgery codes Family physicians will want to take note of several revised codes in the CPT manual's surgery section. Destruction of benign or premalignant lesions. Codes 17000 and 17003 were revised to exclude destruction of benign lesions. A new parenthetical note to these codes instructs physicians to report codes 17110 and 17111 for destruction of common or plantar warts. In conjunction with this, codes 17110 and 17111 were revised to include destruction of benign lesions other than skin tags or cutaneous vascular lesions. So, the proper coding for destruction of any warts or SKs is 17110 for the first 14. Only premalignant or malignant lesions can be coded with the 17000. I guess CPT codes do change. Who knew? Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com -- MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
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