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Thread: 11x9 keloid

  1. #1

    Default 11x9 keloid

    AAPC: Back to School
    Hi, I could use some help with a few codes. The surgeon removed a large 11x9 cm keloid from a child. I'm not sure what ICD-9 codes to use for a keloid that bleeds, iterfered with sleep and activities of life.

    I appreciate any help you can give me.
    Thanks, kdm

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default A keloid is a keloid is a keloid

    Unless this is Addisons' keloid (i.e. Morphea) the diagnosis is the same regardless of size 701.4.

    I know that more and more insurance companies want to refuse payment as a purely cosmetic procedure. I find before pictures with letter from physician outlining medical necessity helps in getting a predetermination / preauthorization for the surgery.

    (Though now we're seeing denials for the original office visit due to diagnosis .... S I G H)

    Hope that was helpful.

    F Tessa Bartels, CPC, CEMC

  3. #3

    Default Thanks, Tessa

    I appreciate your help. Are there any codes I could use to for the bleeding and other issues? It's seems that would help show the insurance company that this was not just cosmetic. ( I do have pictures to send as well) I am not sure what codes I could use along with the keloid code.
    Thanks, kdm

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