CPT^® 10040, Under Incision and Drainage Procedures on the Skin, Subcutaneous and Accessory Structures

The Current Procedural Terminology (CPT^®) code 10040 as maintained by American Medical Association, is a medical procedural code under the range - Incision and Drainage Procedures on the Skin, Subcutaneous and Accessory Structures.

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Summary

The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.

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CPT 10040 vs 17360

[QUOTE="sinman0531, post: 503728, member: 605607"] Sorry this took me so long! So since the 17360 is pretty much always going to be considered not medically necessary, it really doesn't matter how you... [ Read More ]

CPT 10040 vs 17360

[QUOTE="Metroderm, post: 503513, member: 374934"] Thank you so much for the reply. I'm still arguing with one of the provider who insists. May I ask what is the proper preparation for the chemical e... [ Read More ]

CPT 10040 vs 17360

[QUOTE="sinman0531, post: 502700, member: 605607"] The documentation you provided more strongly supports a 10040, which is "Acne surgery - e.g., marsupialization, opening or removal of multiple milia,... [ Read More ]

Chemical Peel

My boss seems to think that chemical peels for acne can be billed under acne surgery code 10040 and most insurances will pay. We would just be doing chemical peels not using hydro-facial machine. I ha... [ Read More ]

CPT 10040 vs 17360

The documentation you provided more strongly supports a 10040, which is "Acne surgery - e.g., marsupialization, opening or removal of multiple milia, comedones, cysts, and pustules". An argument could... [ Read More ]

CPT 10040 vs 17360

I would like to get an opinion for other coders about the note below. My coworker and I have disagreement on the code between 10040 x 17360 I'm on 10040 side because we did extraction with cotton tipp... [ Read More ]

CPT code not in Medicaid Fee Schedule

[QUOTE="CFE4130, post: 492451, member: 709642"] I'm dealing with the same thing. I'm not sure if this is the same in other states, but Louisiana uses Managed Care Organizations (MCO) which are the mid... [ Read More ]

CPT code not in Medicaid Fee Schedule

I'm dealing with the same thing. I'm not sure if this is the same in other states, but Louisiana uses Managed Care Organizations (MCO) which are the middle men between the provider and Medicaid agency... [ Read More ]

esthetician to do Acne Surgery 10040 bill to insurance?

We have an esthetician that was told she can do Acne Surgery on a patient CPT code10040 and it be summitted to ins and covered. She currently does what fits the description of that code but for cosmet... [ Read More ]

Chemical Peels and Acne Surgery ?

on the code 10040 does it have to be and incision and then extraction or can it just be an extraction with the extractor tool? and as far as billing under the PA is that for any insurance or just for... [ Read More ]

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