Dermatologist destructed a lesion on a patient’s tongue. He is documenting the lesion as a papilloma destructed by electrofulguration. – what CPT code would I use to report this destruction — 41599 Unlisted procedure, tongue, floor of mouth? This is the first time I’ve encountered this area specific destruction and I am unfamiliar with what code I should use. Thanks.
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Tag Archives: Lesion
Exc Malig Lesion with AT and T advancement flap
Hi just needed some help with coding and Excison of malignant lesion and AT and T Advancement Flap
CPt Manual states that the Flap does not include exc. of the lesion; however when I enter the codes
it says disallow for the excision so I did add the 59 modifier and came up with clean claim. Would anyone be able to shed some light on this and just let me know if that’s correct?
Thank you in advance
Hopp
CPt Manual states that the Flap does not include exc. of the lesion; however when I enter the codes
it says disallow for the excision so I did add the 59 modifier and came up with clean claim. Would anyone be able to shed some light on this and just let me know if that’s correct?
Thank you in advance
Hopp
Code for removal of cyclops lesion in intercondylar notch?
Physician performed a Lateral Meniscectomy (29881) and then excised a Cyclops lesion from the intercondylar notch. Anyone know the code for this procedure?
Lesion Cauterization
I need help finding a CPT code for this procedure. I wanted to use 11421, but the cauterization is making me question it:
1 cm verrucous lesion at the right labial perineal border
*
Recommend excision/cauterization patient agreeable
*
Sterile prep and drape, 2% lidocaine injection at the base of the lesion,
Cauterization using portable disposable cautery of the lesion with 15 blade debridement and cauterization of the base was accomplished. The patient tolerated the procedure well.
Return visit for evaluation as needed
Any advice? Thanks!
Office visit and lesion removal same day – global days
Hi Y’all
Can I get some feed back on the modifier usage 24 and 25..
Scenario:
Patient came in as a new patient to see the provider for a rash on his back and diagnosed as allergic dermatitis (L23.9) , but then provider notices a suspicious lesion on the rt forearm and excises it.
Path report came back as: BCC- basal cell CA. excised lesion 1.5 cm with intermediate closure.
Coded?
99202 – dx L23.9
11601 – C44.612
12031 – C44.612
Keep in mind 11601 has a 10 global period. What my question is, do I need a modifier 24 as well as a 25 on the 99202?
Thanks for any feedback
Ear canal lesion debridement
I’m looking for advice on the following procedure:
——————————————————
History from: patient
Reason for visit: F/U procedure – e/o R ear canal lesion
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History from: patient
Reason for visit: F/U procedure – e/o R ear canal lesion
Pt is here today for excison of right ear canal vascular lesion; has been there for several years and waxes and wanes in size; nontender but almost completely occludes the ear canal.
Right Ear
External: Pinna and periauricular area is normal.
Canal: bluish vascular lesion posterior lateral canal, almost completely occluding, able to debride cerumen and visualize intact TM
Tympanic Membrane: Tympanic membrane intact and mobile, no middle ear effusion or masses appreciated.
microscope used to examine ear
Consented for incision/debridement of right ear canal lesion.
[Procedure]
Cleansed with betadine, injected with 0.2 cc 1% xylo with 1:100kepi locally. 22 gauge needl aspirated –scant ; bacitracin ointment placed medially, then superficial skin debrided with cup forceps and cauterized with bipolar forceps and ear canal packed with Mycolog cream, cotton ball placed in meatal opening. Tolerated well.
————————————————————–
The physician is suggesting 69145 for removal of an ear canal lesion and 92504 for use of the microscope, but the notes indicate just a debridement. Since there is no specific code for debridement of the external ear, I have read that it may be best to code just the 92504 or code 69399 for an unlisted procedure and include notes w/ a code that has comparable work values.
However, the mention of cauterization leads me to think perhaps a destruction code is warranted (17004? 17110 due to mention of a vascular lesion?) Any help would be appreciated. Thanks in advance.
perianal lesion
Please help if you can. What codes would you use ?
DX- INTERNAL HEMORROHOID, external skin tag and perianal ulceration
Procedure :Hemmorrhoid ligation and excision of perianal lesions x3
Findings-One anterior midline anal skin tag, two right and left posterioe superficial ulcertations, and internal hemorrhoids ligated
A digital rectal exam was performed which demonstrated a right p0sterior anal papilla. A hill fergerson anal retractor was used to examine the distal rectal mucosa. The mucosa appeared redundant and showed some evidence of friability for mucosal prolapase. An anterior skin tag was excised with bovie electrocautery and the wound was left open. Two superficial ulcerations located on the perianal skin were excised .
Hemostasis was achieved with bovie electrocautery. A perianal block was created with exparel and thrombin gel foam inserted into the anal canal.
46922?46220? does any one see the ligation part ?
thanks for your time
ICD 10 for High Cervical Interal Carotid Artery Lesion
Does anyone know what code should be used for an anatomically high cervical internal carotid artery lesion?
That is one of the risk factors that should be used if it’s applicable to a carotid stent patient and I can’t find a code that fits.
Thank you!