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Thread: E/M with Derm procedure

  1. #1

    Default E/M with Derm procedure

    AAPC: Back to School
    I am looking for some advice on this progress note:

    Pt states lesion on L shoulder and L cheek not totally resolved. Does not want to go on Crestor.

    Exam: VS 132/64
    Cardio: HRRR
    Resp: LCTA
    GI: Ab soft NT

    LFTS ok, LDL 80 goal <70


    SKin - 2 foreing LN2 x 10sc x 2
    Sebacious Dermatitis

    See back 6 weeks for skin tag removal

    99213 -25
    17000 x1
    17003 x1

    What would be your thought?

    Carmela McDermott
    Bi-County Internists
    Warren, MI

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Where is the procedure documented?

    This is not my specialty, so forgive me if I'm not understanding ...

    But where are the procedures documented?

    Your level of E/M is fine, but I'm questioning whether you can code the procedure(s).

    F Tessa Bartels, CPC, CEMC

  3. #3


    SKin - 2 foreign LN2 x 10sc x 2
    Sebacious Dermatitis

    Destruction of lesion using liquid nitrogen.

  4. #4
    Join Date
    Apr 2007


    Isn't sebaceous dermatitis a benign lesions, so shouldn't you use 17110 instead of the 17000 & 17003? My understanding is 17000 is for precancerous lesions (ie. actinic keratosis)

    Erin M

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