AAPC - Back to school
Results 1 to 5 of 5

Thread: CPT 17000&17003 vs 17000x11

  1. #1

    Smile CPT 17000&17003 vs 17000x11

    AAPC: Back to School
    There seems to be some kind of confusion with the word (each) found after code 17003...patient had 11 lesions destroyed, one coder coded as 17000 and 17003, another coder said that was wrong and it should have been coded as 17000x10. I would agree with the 17000 & 17003 for the total of 11 lesions. Coding it the other way would inflate the amt. of money charged by the facility greatly and therefore would be incorrect on my thinging. Can you assist or have any example cases addressing this case.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    For 11 lesions .. the 17000 states first lesion, the 17003 states 2-14 EACH then it tells you to list separately. Therefor (and I knoe a lot of people use units but truely that is not correct) to show that you destroyed 11 lesions you will need 11 line items.
    17003 59
    17003 59
    and so on for 11 line items total.
    As I said some will use units but I have tested this many times and the reimbursement is more correct when you list it each time as instructed by the book. To use the 17000 and the 17003 x 10 indicates 2 lesions destroyed but one had to be done 10 times. To use the 17000 and only one 17003 indicates a total of 2 destroyed. It does not inflate the AR to do this correctly.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    I do not agree with the posting of 17003 as different line items. I worked derm for many years and we always coded 17000 and 17003 x?. We never had a problem with incorrect reimbursement. That is the whole point of having a units box available on the form....

  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    The units box is for codes that come as quantity distribution codes, such as time codes or drug codes. Surgical services do not come as quantities the are each one unique and distinct. Many payers will pay when you use units however I have found that by listing them as each line item the reimbursement is much better. Recently one of my students did switch from billing units to the line item using the 59 for this exact scenario, every payer she has billed this way has increased the reimbursement over what she recieved when billing units.. As I said I have tested this many times. I know many do use units but the book states each and says to list separately.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5

    Default Ivis M. Fernandez

    I teach skin, and I think, by the books you must code 17000,17003*10

Similar Threads

  1. Modifiers for 17000 and 17003
    By louisel in forum Auditing General Discussion
    Replies: 4
    Last Post: 07-06-2016, 11:21 AM
  2. Derm-17000 17003 17004
    By laauserc1 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2013, 10:36 AM
  3. E & M and 17000, 17003 codes
    By Jackie Derm in forum Dermatology
    Replies: 4
    Last Post: 06-15-2012, 01:29 PM
  4. 17000 and 17003
    By sprince in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-29-2009, 07:46 AM
  5. 17000 Global to +17003??
    By debrooth in forum Dermatology
    Replies: 7
    Last Post: 09-23-2008, 12:30 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.