TANYAD
New
Hey there,
My derm provider is questioning reimbursement for AK destructions.
Currently Medicare reimburses
$72.51 for CPT 17000
$9.62 for CPT 17003 EACH additional lesion up to 14
$143.84 for CPT 17004 15 or more lesions.
It doesn?t make a whole lot of sense if the provider destructs say 13 lesions (17000, 17003x12) for total reimbursement $187.95
But if the provider destructs 15 or more he only gets reimbursed $142.84.
So the provider would get paid MORE to destruct fewer lesions.
I just wanted to see if anyone else out there noticed this. Also any input on what some commercial carriers are reimbursing.
Thanks so much.
Tanya
My derm provider is questioning reimbursement for AK destructions.
Currently Medicare reimburses
$72.51 for CPT 17000
$9.62 for CPT 17003 EACH additional lesion up to 14
$143.84 for CPT 17004 15 or more lesions.
It doesn?t make a whole lot of sense if the provider destructs say 13 lesions (17000, 17003x12) for total reimbursement $187.95
But if the provider destructs 15 or more he only gets reimbursed $142.84.
So the provider would get paid MORE to destruct fewer lesions.
I just wanted to see if anyone else out there noticed this. Also any input on what some commercial carriers are reimbursing.
Thanks so much.
Tanya