Wiki 17110 vs 11424

Ksumansky

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Hello, I am coding an verrucae claim from an ASC center. I usually code these claims under 17110 due to surgical currettage. MD has code 11424 marked. There is definetly a reimbursement difference between the two codes. I am confused on which one since the doctor did both sharp dissection and curettage......what do you think?

Attention was then directed to the lesions. The overlying hyperkeratosis was debrided. The lesions measured in gross diameter approximately 3.0x4.0 cm. The lesions were completely excised using both sharp dissection and curettage. Bovie was used to cauterize the base. Care was taken not to puncture through the basement membrane. The surgical site was curetted multiple times followed by applications of bovie until I was certain all verrucous tissue had been removed.

Any thoughts would be appreciated. Thanks!
 
If excised and closed with suture use cpt 11420 series

if lesion is destroyed (acid, cyrotherapy, chemotherapy,
laser, currettement ) use cpt 1700 series
 
If excised and closed with suture use cpt 11420 series

if lesion is destroyed (acid, cyrotherapy, chemotherapy,
laser, currettement ) use cpt 1700 series
 
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