coding help needed Verucca Freeze

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When is it appropriate to code 54065 destruction of lesions( condyloma) , extensive verses 54056 - cryosurgery? What makes this extensive?
We are doing a Verruca Freeze on a patient with 20 lesions ? Any help would be appreciated. Thanks, Donna Mariano CPC
 

mbort

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Lay Description

The physician destroys extensive lesions of the penis using one or more of several methods. Extensive destruction generally means the procedure took more time or was more difficult than usual due to such factors as the size and number of lesions involved. The methods used by the physician include local application of a chemical, freezing, electrodesiccation, laser vaporization to kill the diseased tissue, or excision. Local anesthesia may be used for these procedures. The physician applies the method only to the specific lesions.
 

magnolia1

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In your particular scenario, I would use 54065.

Per Coders' Desk Reference, 54060 only states "excision" as the means of removal of the lesion(s).
 
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