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Perianal skin tag

  1. #1
    Location
    NEW ORLEANS
    Posts
    956
    Default Perianal skin tag
    Medical Coding Books
    Doctor office says used code 11200 , ASC where i work says try cpt code 46220. Which one, if any would you choose/
    here is the operative report

    Operation
    : Excision of perianal skin tag
    Diagnosis : Perianal skin tag in anterior midline

    Procedure : The patient was brought into operating room and placed on operating table in Prone -knife postion. The perianal region was prepped and draped in sterile fashion. The anus was gently dilated up to three fingers breadths. The Hill- Ferguson retractor was inserted into the anus. There was no pathlogy of distal anus circumferentially. The mucosa was pink and healthy. There was a skin tag in anterior midline. This was grasped after injecting the area with 5cc of 0.25 % Marcaine with epinephrine. An elliptical incision was used to excise the skin tag. Hemostasis was achieved with electrocautery. The skin was closed with running 3-0 Chromic suture. Sterile dressing was applied.
    Please help, thanks

  2. #2
    Location
    Kansas City, MO
    Posts
    434
    Default
    looks like a 46220 to me.

  3. #3
    Location
    NCF Gainesville
    Posts
    64
    Default
    I agree! That looks like a lot more work than the normal skin tag removal
    Jeni Smith, CPC, CPMA

  4. #4
    Location
    NEW ORLEANS
    Posts
    956
    Default
    thanks , 46220 it is

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