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Destruction of a dermatomal nevus

  1. Default Destruction of a dermatomal nevus
    Medical Coding Books
    We have a new surgeon that uses a CO2 lazer to vaporize ak,sk,nevuses and warts. When I work these destruction up I am getting 17110 or 17111 depending on the amount destroyed.

    DESCRIPTION OF PROCEDURE: The patient was found to have a verrucous lesion
    extending in a linear dermatome pattern from his right wrist up to his right
    shoulder. It was of a verrucous nature and measured about 45 cm in length by
    2.5 cm in average width. Under general anesthesia, the right arm was prepped
    and draped in sterile fashion.

    With a CO2 laser at 11 watts, the lesion was vaporized and there was no
    significant bleeding. There were 3 areas within the lesion with deeper skin
    loss from recent cryotherapy.

    Topical Triple Antibiotic ointment was placed. He was transported back to the
    recovery room in stable condition.

    Is there a different cpt code that I should be using?


  2. #2
    That would be the CPT code I would use!
    Herbie W Lorona Jr., CPC, CPC-H

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