Results 1 to 7 of 7

Intralesional injection vs Destruction

  1. #1
    Smile Intralesional injection vs Destruction
    Exam Training Packages
    I know the use of candida antigen has been discussed in this forum before, but I need opinions please on this situation. Doc is injecting candida antigen for treatment of viral warts. Obvious coding for me is 11900/11901 + J3490 for the candida antigen if nothing else is done to the lesion on that day. However, doc believes that 17110 is more appropriate because description says "any method" and "chemical treatment". I believe that 17110 would be appropriate perhaps if the lesion was treated with a chemical topically or by one of the other means mentioned in CPT, but the intralesional injection is the more specific code in this case. And what about use of 96405/96406 for chemo admin? Would injection of candida antigen be considered "chemotherapy administration"?

    Opinions Please, to justify either coding method.

    Thanks a bunch!

  2. #2
    I'd also be inclined to go with 11900/11901 vs. 17110. While CPT does say "any method" if you look at the standard edition, it states "Any method includes electrosurgery, cryosurgery, laser and chemical treatment." Also I think the way you coded it is a better description of what was actually done.

    Hope this helps.

    Jess H., CPCD

  3. #3
    Thank you, Jess!

  4. Default
    Yes you are right and justified in assigning the code 11900,11901.

    Candida antigen therapy as injection:
    causes the immune system to become very active in that area.
    Since it is not an immunosuppressant agent but an immunostimulatory agent, the better code choice would be the J3490. That is why we do not assign the code J7599

    Code 11900/11901, Injection, intralesional lesions up to 7 or over 7 lesions (not the amount of needle sticks per lesion).

    But it is not chemotherapy. It is an immunotherapy. it produces a host immune response to the wart virus, resulting in wart resolution.
    It said to bring about resolution of distant sited wart.
    It is believed that some chemotheraputic agents like 5 flurouracil can bring about some resolution effect on wart.
    Last edited by preserene; 08-21-2010 at 12:05 PM.

  5. Default Biller/Coder
    I am trying to code BCG for melanoma under medicare. I used 90585 but medicare does not covered it, is there another code I can use

  6. Post Sadbe
    HELP!!! Iam new to dermatology coding and I would like to know if I can bill 17110-17111 for SQUARIC ACID DIBUTYL ESTER (SADBE 2%) when treating warts? This is being applied with a cotton swab, it is not being injected. I am pressed for time on this question so a quick response would be greatly appreciated.. thank you so much.
    Last edited by jhurless747; 02-20-2017 at 12:32 PM.

  7. #7
    Yes, you can use 17110-17111 for any substance that you apply to a wart in order to destroy it.

Similar Threads

  1. Intralesional Injections with MMR
    By amieelyn2001 in forum Dermatology
    Replies: 0
    Last Post: 08-24-2015, 02:46 PM
  2. E/M & injection or malignant destruction?
    By JesseL in forum Dermatology
    Replies: 13
    Last Post: 10-01-2014, 11:46 AM
  3. Replies: 0
    Last Post: 09-03-2014, 08:05 AM
  4. Intralesional Immunotherapy for warts
    By m.edwards in forum Dermatology
    Replies: 4
    Last Post: 12-18-2012, 01:24 PM
  5. intralesional injection with shave removal
    By shultsm in forum Dermatology
    Replies: 1
    Last Post: 08-17-2012, 10:46 AM

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.