• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki issues with wart destructions

Create Wiki
P

PattyGreen

Contributor
Messages
23
Location
Siler City, NC
Best answers
0
Can any wart be destroyed or is there specific criteria required before billing wart destructions with 17110 or 17111? One of the physicians found an article that indicates warts must now meet some sort of criteria before the destruction becomes medically necessary. The fact that a wart is a virus and should be destroyed doesn't seem to be reason enough. I have not been successful in my search on Palmetto's website. Any help would be appreciated. Thanks
 
Patty;

I would first ask your provider to share the article they read. With so many over the counter remedies for wart removal I can see where the payers would "tighten up" on the guidelines. Go back to the Palmetto website and pull the guidelines for benign lesion removal and see if there is any direction there that you can take back to your providers; remembering it may fall into the same "category" as benign lesion removal and may not meet the medical necessity for payment leaving the patient to be financially responsible. Good Luck.
 
You must log in or register to reply here.
Top