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We have always billed this way to Medicare and it paid, just started receiving these denials in the last 3-4 weeks.
Any ideas.
Thoughts from anyone out there in the Dermatology field and what you may be doing.
Thank you
How would you consider the risk factor for this type of procedure and why?
Thanks!
Numerous 1-5 mm skin colored to light brown dome-shaped papules were noted diffusely over the patient’s trunk, neck, and several on the face including one underneath the right lower eyelid, right temporal scalp, left and right lateral and posterior neck, anterior chest, left 4th and 5th fingers, and back. Using the carbon dioxide laser with adequate metal eye shields placed, the CO2 laser at 3 watts was used to destroy these lesions after dermopathy confirmation of Pathology which were small nevoid basal cell carcinomas. Wound care instructions were given for these lesions to simply stay out of the sun and apply Vaseline to these areas.
I would code
17260×3
17270×3
17280×2
First visit: HPI: Pt notes small hyperpigmented lesions in his pubic area, no known recent exposure to persons with genital warts, thinks they have spread thru shaving.
Exam: GU: Flat hyperpigmented lesions, 6-10, in pubic area above the penis, medial and right lateral. No signs of infection noted.
A/P: A63.0 genital warts. Return to clinic for nitrogen freezing.
Return visit: Reason: Cryotherapy for genital warts.
Site: right and midline of pubic area.
Lesions treated: Approx. 8-10. Cryo gun, 1 second freeze time with one repeat.
Impression: Genital warts. Treated as above.
Thanks so much for any help!
