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E/M with Derm procedure

  1. Default E/M with Derm procedure
    Medical Coding Books
    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
    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. Default
    SKin - 2 foreign LN2 x 10sc x 2
    Sebacious Dermatitis

    Destruction of lesion using liquid nitrogen.

  4. Default
    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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