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Wiki E/M with Derm procedure

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carmimcd

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I am looking for some advice on this progress note:

Pt states lesion on L shoulder and L cheek not totally resolved. Does not want to go on Crestor.

Exam: VS 132/64
Cardio: HRRR
Resp: LCTA
GI: Ab soft NT

LFTS ok, LDL 80 goal <70

Hypercholesterolemia
PVD

SKin - 2 foreing LN2 x 10sc x 2
Sebacious Dermatitis

See back 6 weeks for skin tag removal

99213 -25
17000 x1
17003 x1

What would be your thought?

Carmela McDermott
Bi-County Internists
Warren, MI
 
Where is the procedure documented?

This is not my specialty, so forgive me if I'm not understanding ...

But where are the procedures documented?

Your level of E/M is fine, but I'm questioning whether you can code the procedure(s).

F Tessa Bartels, CPC, CEMC
 
SKin - 2 foreign LN2 x 10sc x 2
Sebacious Dermatitis

Destruction of lesion using liquid nitrogen.
 
Isn't sebaceous dermatitis a benign lesions, so shouldn't you use 17110 instead of the 17000 & 17003? My understanding is 17000 is for precancerous lesions (ie. actinic keratosis)

Erin M
 
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