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destruction of “genital” warts

Please help me code the return visit. I’ve included info from first visit where problem was first seen, in case clarification is needed. I have two concerns:
1. Are these genital warts based on exam description? That is, shouldn’t they be ON genitalia for dx code A63.0?
2. There are destruction codes for genital warts, but again, are these really genital warts? What CPT is correct? (17110?)

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!

Medical Billing and Coding Forum

ICD-10 Coding for Warts

Warts are a form of lesion most often caused by a viral infection; however, some warts are bacterial, rather than viral. Warts are most common in children, young adults, and people with immune system deficiencies. Clinical categories of warts include: Common warts (Verruca vulgaris): A raised wart with roughened surface, most common on hands, but […]
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