Wiki Excision of a lesion

[charonate]

Hello, everyone

I work for a urology group. One of my Dr's performed a excision and fulguration of multiple condylomas in the groin. I suggest to use 17004 because per note their were about 15 lesions. But in the process my supervisor thinks that 11404-11406 should a better selection. I thought those codes were for single lesion. Can some one help me with this?

Thank you.

Maria

 

[katerina_98]

When you say excision, did he excise each one seperately and use simple closure on each of these 15 lesions ( or one group of 15)?

 

[charonate]

one group of 15 lesions.

 

[mmelcam]

You are correct, those codes are for a single lesion. 17004 would be correct.

 

[jennifer.cooper]

You are correct it would be 17004.

 

[rmiller2012]

17004 is for premalignant lesions. Genital warts are usually coded as benign lesions. (11420-11426)

There is also CPT 54060 (description below is right out of the CPT Manual .....
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision

Lay Description
A lesion or other skin deformity is removed from the penis by cutting it off. The physician may use a laser, an electric current, liquid nitrogen, or a chemical compound to remove the lesion.