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Destruction

  1. #1
    Default Destruction
    Medical Coding Books
    Good Day,

    I just want to see if anyone can tell me if I'm thinking correctly on this.

    Providers note states:

    Excision of lesion

    procedure documented: The lesion was located on the left back. The patient was prepped and draped in the usual sterile fashion. using alcohol. Destruction technique: cryotherapy application.

    The provider has "circled" shave excision. i don't agree with this. I believe this is a destruction (17000). The dx code documented is Seborrheic keratosis 702.19.

    Does anyone agree with me here that this is a destruction and not a shave?

    Thanks in advance.
    Last edited by rthames052006; 04-20-2011 at 12:41 PM. Reason: correct spelling
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  2. Default cryo on lesion
    I agree with your code 17000, the cryo destruction rather than shaving code 11300 which docs circle might have coded to.

  3. Default
    17000 code is only to be used when treating Actinic Keratosis. For treatment of benign lesions such as Seborrheic Keratosis you would use 17110. I would caution you that your providers MUST document medical necessity for treatment of benign lesions.

  4. Default
    100% agree with ErinM (sorry if that isn't correct, but know Erin is You can only use 17000 for PREMALIGNANT lesions, eg actinic keratosis. For all others, such as the SK you use 17110. Hope this helps.

  5. #5
    Default Thanks
    Quote Originally Posted by eadun2000 View Post
    100% agree with ErinM (sorry if that isn't correct, but know Erin is You can only use 17000 for PREMALIGNANT lesions, eg actinic keratosis. For all others, such as the SK you use 17110. Hope this helps.
    Thank you for the responses... I'll take another look when I get back to work in the morning.

    It does help!
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

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