Wiki skin tag removal

[aksilvis]

99213, 25 N18.2, D75.1
11300, 59 D48.5
11200 L98.8, L53.9
11201 L98.8, L53.9

Claim denied CPT 11200 stating inclusive; CPT 11201 denied not covered unless a pre requisite procedure/service has been provided.

Any help?

 

[Pam Warren]

11201 won't be paid unless 11200 is paid. And since 11200 was denied because it's included in the E&M, they denied both.

11200 is a skin tag removal, and generally considered cosmetic. Both of your diags are non specific, (and not skin tags) so I'm betting it was denied also for medical necessity.