We use 17110 and 17111. We subscribe to a dermatology newsletter and one of the articles states:
These codes should be selected only to bill for benign lesions treated by destruction. Benign lesions include but are not limited to:
a. Verruca vulgaris
b. Verruca plantaris
c. Flat warts
d. Molluscum contagiosum
e. Symptomatic seborrheic keratosis
f. Lentigines (if medically necessary)
g. Telangiectasia (if medically necessary)
h. Cherry hemangioma (if medically necessary)
i. Milia (if extracted, see CPT code 10040)
It goes on to state:
Medical necessity and documentation Carriers may vary in their requirements for
payment for destruction or removal of benign lesions. When required per carrier policy (check the Benign Skin Lesion Removal Policy), be sure to support the medical necessity of treating benign lesions such as seborrheic keratosis, warts, etc. The medical record must show the lesion(s) was symptomatic in order for the treatment to be charged to an insurance company.
Documentation may be substantiated for the non-cosmetic treatment of benign lesions by documenting that at least one of the below symptoms are present:
a. Inflamed
b. Bleeding
c. Clinically suspicious for malignancy
d. Painful
e. The statement “Irritated skin lesion” is not sufficient justification for lesion removal
when used solely to reference a patient's complaint or a physician's physical findings.
Hope this helps.