A provider is telling me when they document 17000, they do not have to document the location. Is that correct?
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Tag Archives: 17000
Codes: 17000 & 17110
I work at a dermatology office and we recently had an audit with BCBS. They are doing a special investigation on codes 17000 & 17110. They are requesting us to send in clinic note along with claim form if the patient received these services. . I am now receiving feedback on it and they are denying these codes for medical necessity. I reviewed the physician’s notes and the patients are being treated for AKs (L57.0) with 17000 and ISKs (L82.0) or Warts with 17110. This is being stated in the notes as well as the location(s) of the lesions. I am not sure what BCBS will need to process these particular codes for reimbursement. Does anyone have any suggestions?
17000 for 3 Cycles
Hi All,
I am new to dermatology billing and would greatly appreciate your input. This Medicare patient comes in for an office visit, skin biopsy, and LN2 x3 cycles to 3 lesions.
Proposed billing 1:
99213 – 25
11100 – 59
17000 – 51
17003 *2
My question is: Do we need to triplicate the units for LN2 because it was done in 3 cycles? If so, is the coding below more appropriate?
Proposed billing 2:
99213 – 25
11100 – 59
17000 – 51
17003 *8
Please help! Thank you!
Billing CPT codes 17000, 11421, and 10060 to Medicare
I currently work for a FQHC and I have been having problems with billing certain office procedures to Medicare. The following CPT codes are 17000, 11421, and 10060 are being denied by Medicare. When we bill out the claim, we just add the G code and no office visit because when the provider sees the patient it is only for that procedure. Can anyone help or give me any ideas on how to get Medicare to process these claims? Thank you!