Dermatology Coding Alert
Reader Question:
11900 and J3301 Solve Acne Steroid Injection Woes
Published on Sat Nov 20, 2004 
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Question: Our dermatologist injects an acne cyst with 0.05 cc of Kenalog. How should I code the procedure and medicine?
Virginia Subscriber
Answer: You should report the injection with 11900 (Injection, intralesional; up to and including seven lesions). This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for large nodules. Insurers, such as Cigna, may cover the treatment with an acne diagnosis (706.1, Diseases of sebaceous glands; other acne) if the injection is medically necessary.
You should use J3301 (Injection, triamcinolone acetonide, per 10 mg) for 10 mg of the steroid.
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