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Thread: 17000 and 17003

  1. #1
    Join Date
    Apr 2007
    Location
    APPELTON WI
    Posts
    1

    Smile 17000 and 17003

    Promo: Code Books
    I am hoping to get some comments on a ongoing discussion we are having in our office. There are a few different view points when it comes to interpretation of a destruction of pre-malignant lesions using 17000 and 1700. It is my understanding that the first lesion is 17000 and then the next second thru 14 lesions and then 17004 if you have 15 or more using just those codes once. But here is the debate. 17003 reads (each) so some say to put it in for every lesion starting with the second thru 14. I would appreciate any and all view points on this. Thank you in advance for your time.

    Sandy

  2. #2
    Join Date
    Apr 2007
    Location
    Dover Seacoast New Hampshire
    Posts
    1,911

    Default

    CPT states that code 17003 is for "each" lesion (2-14). So if you have 12 pre-malignant lesions, you'd code 17000 x 1 and 17003 x 11.

    Pam Brooks, PCS, CPC
    Physician Services Coding Supervisor
    Wentworth-Douglass Hospital
    Dover, NH

  3. #3
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,168

    Default

    I know that a lot of folks do use units, however the codes states to list separately, and I have seen denials for units out of range. Now here is the good part, I advised one physician practice in Ohio to stop using units and bill each line, they did and they tracked the reimbursement, the claims without the units were paying higher than when they did use them. so for 5 destructions I would advise
    17000
    17003
    17003 59
    17003 59
    17003 59
    Al the way to up to 14 line items.

    Debra A. Mitchell, MSPH, CPC-H

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