AAPC - Back to school
Results 1 to 4 of 4

Thread: Verruca Surgery

  1. #1
    Join Date
    Apr 2007
    St Louis

    Default Verruca Surgery

    AAPC: Back to School
    When billing for wart removal/destruction I always use 17110/17111 codes in the office setting, however when performed in a surgery center his dictation is more complex but I have a hard time finding a code outside of the 17110/17111 set that fits. I've always been unsure about the surgical currettement potion of 17110 code description and if a blunt dissection would fall under that or if this would be considered more complex and I need to be using a different code. Here is what he dictates- please let me know if you think there is a better code for this than the 17110.

    Operation Performed: Blunt dissection with cautery of plantar verruca.

    Procedure: With use of Beaver blade, the verruca sub left 4th was circumscribed down to the level of basal lamina. With use of pickups, the verruca was lifted and a Beaver blade was then used to free it from the underlying basal laminar layer. At this time a bovie was used to cauterise the base and the area was inspected to assure complete removal.

    (This was performed on 4 verrucas- in other areas of the foot)

    Thank you,

  2. #2
    Join Date
    Apr 2007


    "For destruction of common or plantar warts, see 17110, 17111." The CPT 2010 book says that those are the best codes for that procedure. I hope that helped, it looks like you're right on track.

  3. #3
    Join Date
    Apr 2007


    Podiatry is not my strength but you might look at the 11300-11308 series which seem to fit more of your blunt dissection.
    The plain english description reads as: "A raised lesion is removed by shaving from the scalp, neck, hands, feet, or genitalia. The physician applies local anesthesia to the excision site. The scalpel is held parallel to the skin surface and the lesion is removed at its base. Electrocautery or chemical cautery may be used to control bleeding."

    On the other hand the description for 17110 doesn't seem to fit as it describes the surgical curettement as "scraping." The plain english description for 17110 fully reads as: "Benign lesions other than skin tags or cutaneous vascular proliferative lesions are destroyed by laser surgery, electrosurgery, cryosurgery, chemosurgery, or surgical curettement. A local anesthetic may be administered. The type of destruction depends on the lesion type and location and may include use of a laser, heat or thermal energy (electrosurgery), cold or freezing (cryosurgery), chemical destruction, or scraping (surgical curettement)."

    Furthermore, I personally had plantar warts excised under general anesthesia at a surgery center and my physician billed it as 11420 for each of the 5 lesions but mine were also deep excisions that were carried down to the fascia. Hope some of this info helps.
    Eileen Blankenship, CPC
    Remote Coder

  4. #4
    Join Date
    Apr 2007
    Wichita, KS


    CPT 17110 would be the correct code with a 22 modifier. Increase the billed amount and send this claim on paper with the operative notes showing why the wart removal was performed under general anesthesia and reasoning of increased procedural service (ie increased intensity, time, technical difficulty of the procedure, severity of patient's condition, physical and mental effort required). With my experience when a wart(s) removal is performed under general anesthesia the procedure is precertified by the insurance company before the procedure, if not insurance might deny the claim as not being medically necessary.
    Last edited by TammyHF; 03-17-2010 at 06:24 AM.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

Similar Threads

  1. Replies: 6
    Last Post: 05-23-2014, 05:46 PM
  2. Skin tag or Verruca?
    By Bcastillo in forum Dermatology
    Replies: 0
    Last Post: 08-08-2011, 11:07 AM
  3. Excision of Verruca Vulgaris?
    By BFAITHFUL in forum Dermatology
    Replies: 3
    Last Post: 03-28-2011, 02:07 PM
  4. Plastic Surgery - Surgery Suite in office
    By rmitchell in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-03-2010, 12:51 PM
  5. reimplantation of verruca
    By tgutierrez in forum Outpatient Facilities
    Replies: 0
    Last Post: 03-18-2009, 12:26 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.