Urology Coding Alert

You Be The coder:

54065 Covers All Wart Removal Methods

Question: Our doctor performed fulguration on 28 genital warts comprising about 14 sq cm. Is CPT 54055 or CPT 54065 the correct code?

New Jersey Subscriber
 
Answer: Use CPT Code 54065 (Destruction of lesion[s], penis [e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle], extensive [e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery]). The code includes every method for removal, and 14 sq cm would certainly be considered extensive. Although 54055 (Destruction of lesion[s], penis, simple; electrodesiccation) describes the fulguration procedure specifically, it does not adequately describe the work involved in destroying 28 genital lesions.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All