destruction

  1. A

    Wiki Medicare denial 64635 but payment allowed for 64636

    I'm scratching my head on this one. We have two instances were Medicare has denied CPT 64635 Destruction RFA due to "information submitted does not support this many/frequency of services". However, for these same claims they have paid the add on code of 64636. I simply do not understand this, I...
  2. E

    Wiki Excision of Condylomata/skin tag

    The patient presents for complaint of lesions. The provider documents 1 skin tag on the glute, and 2 skin tag/ or Condylomata on the labia, 1-2 mm, and a vaginal polyp. If the provider moves forward with excision of all 3 lesions and the polyp removal, what CPT codes should be expected? I'm...
    • ELBrock
    • Thread
    • biopsy condylomata destruction excision genital warts skin tag vaginal polyp
    • Replies: 3
    • Forum: OB/GYN
  3. C

    Wiki New bundling denials for 17000/17262

    We've recently been receiving denials for bundling when we bill the codes 17000, 17003 with destruction codes 17262 etc. We have always billed these with the 59 modifier on the 17000/17003 and when I check the CCI edits it's still saying that is correct. But now we are receiving these new...
  4. S

    Wiki New Biopsy with Destruction CCI Edits

    actinic keratosis - destruction lesions, Billed 17000, 17003 x 4 L57.0, one punch biospy DX D48.5 cpt 11102 59, medicare is denying paying the 11102 but denying the 17000 and 17003 , 236 This procedure or procedure/modifier combination is not compatible with another procedure or...
  5. A

    Wiki 17260 Total Treatment diameter vs. lesion size? HELP

    Help! I have a dermatology provider who is always billing for malignant destruction lesions. She will document in her note something like this: The lesion was then prepped with chlorhexidine, and anesthetized with buffered 1 % lidocaine with epinephrine, followed by electrodesiccation and...
  6. S

    Wiki Risk factor for destruction of lesions?

    Hi, We are having a debate whether destruction of benign or malignant lesions 17000-17110 are considered a *Minor Surgery WITH Identified Risk Factors, or Minor Surgery WITH NO Identified Risk Factors* under the Management Options category when coding EM levels. For example sake, lets say pt...
    • SUN1633
    • Thread
    • dermatology destruction minor procedure risk factor
    • Replies: 9
    • Forum: Dermatology
  7. P

    Wiki Modifier 52 and wart destruction

    I just started working at a new place and they are coding 17000-52 for 3 warts, reportedly for treating an area (same wart) an additional time (separate encounter). Cryotherapy was used. Any opinions?
    • phycoder
    • Thread
    • cryotherapy destruction modifier 52 wart
    • Replies: 3
    • Forum: Modifiers
  8. C

    Wiki NON-thermal destruction of hemorrhoids 46999/46930/46945/46946 (?)

    Hi! I need some assistance. I have a physician billing CPT code 46999 (unlisted anus procedure) for non-thermal destruction of hemorrhoids. He is using "direct current" as the source, but telling me it's not your regular RF to destroy it. Does anyone else have a Physician in your practice that...
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