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Wiki IPK removal

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rlaughlin42

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Location
Orwigsburg, PA
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Please help. My provider is doing the following procedure:

"Bilateral lateral sided hyperkeratotic lesion to fifth MPJs consistent with IPK. At this time a #15 blade was utilized to remove the hyperkeratotic skin over top the verucca. No 15 blade was utilized to debride all hyperkeratotic tissue until we reached the pinpoint bleeding of the verruca. Next, a cotton-tip applicator was utilized to apply 30% salicylic acid. Next a Band-Aid placed over top."

We are billing 17110 with a ICD10 code of L85.1 Acquired keratosis palmaris et plantaris but getting denied by Medicare. Is this coded properly?

Thank you.

Robyne
 
Rebill with B07.0, no other diagnosis, and you will get paid. The callus is a biproduct of the verruca and has to be debrided to get to the verruca.
 
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