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Excision of a lesion

  1. #1
    Default Excision of a lesion
    Medical Coding Books
    Hello, everyone

    I work for a urology group. One of my Dr's performed a excision and fulguration of multiple condylomas in the groin. I suggest to use 17004 because per note their were about 15 lesions. But in the process my supervisor thinks that 11404-11406 should a better selection. I thought those codes were for single lesion. Can some one help me with this?

    Thank you.


  2. #2
    Glendale Arizona
    When you say excision, did he excise each one seperately and use simple closure on each of these 15 lesions ( or one group of 15)?

  3. #3
    one group of 15 lesions.

  4. #4
    St. Louis, Missouri
    You are correct, those codes are for a single lesion. 17004 would be correct.

    Melissa Blow, CPC

  5. #5
    Central Arkansas
    You are correct it would be 17004.

  6. Default
    17004 is for premalignant lesions. Genital warts are usually coded as benign lesions. (11420-11426)

    There is also CPT 54060 (description below is right out of the CPT Manual .....
    Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision

    Lay Description
    A lesion or other skin deformity is removed from the penis by cutting it off. The physician may use a laser, an electric current, liquid nitrogen, or a chemical compound to remove the lesion.

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