Wiki Wart Treatment - Gardasil

[arozance27]

One of our providers wishes to treat common warts with Gardasil injections.
Gardasil does not currently have a J code.
Only 90649/90471 related to vaccination series for HPV.
Would 17110 be appropriate for benign lesion destruction in this instance?

 

[SharonCollachi]

Perhaps you are misunderstanding what your provider wants to do. There are no clinical studies, but there is anecdotal evidence that getting the gardasil vaccine improves hyperkaratotic warty lesions/condyloma. The gardasil is NOT injected into the warts, but given as a regular vaccine, x3.

 

[arozance27]

The provider was very specific that it would be injected intralesionally into the wart.

 

[nkrush12]

My derm wanted to do the same thing. There is a JAMA article about treating resistant warts with HPV. Regardless, there is not a HCPCS code specific for the medication; only the medicine codes for the vaccine. The vaccine would not be appropriate. If he is only injecting, I would use 11900/11901 + J3490. The J3490 would probably not get reimbursed. If he is also freezing or using a laser I would only bill 17110 and not bill 11900/11901/J3490