Coding medical necessity for benign skin lesions for Medicare. LCD L34233 (Noridian) Group 2 – List III codes
Medicare will consider the removal of benign skin lesions as medically necessary, and not cosmetic, if one or
more of the following conditions is present and clearly documented in the medical record:
A. The lesion has one or more of the following characteristics:
1. bleeding
2. intense itching
3. pain
When a dysplastic nevus with moderate atypia is removed via excision, wondering what would be most appropiate code if any from group III when no symptoms are present. Thoughts?
