So I have a dermatologist that does a pairing of corn/callus on patient’s hands. However some insurances deny the code stating that it is not covered. Because what I have been finding is that it’s mainly used as Podiatry. I try to fight it using the clinical policies, for example, Medicare’s clinical policy states foot care. Is there another code any other doctors are using to pare the lesion of the hand?

This is an example of one patient’s notes:
Plan: Paring Hyperkeratotic Lesion.
A total of 4 lesions located on the right distal dorsal middle finger, right mid dorsal index finger, right ring distal interphalangeal joint, and right distal radial thumb were pared with a 15 blade scalpel. This procedure was medically necessary because the lesions that were treated were: inflamed and irritated.

Any suggestions?