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Skin Tag Removal - our general surgeons

  1. Default Skin Tag Removal - our general surgeons
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    One of our general surgeons removed 60 skin tags from a patient during the same session. When this was originally billed the 11200 and 11201 with 4 units was billed. Medicare has denied this stating that because it was reported with 4 units. Now my question is should this have been billed as 11200, 11201 on 4 lines each with one unit. This is not alot of money, but I do need to make sure the front end staff understands how to bill this in the future.

  2. #2
    Location
    Columbia, MO
    Posts
    12,570
    Default
    surgical codes may not be billed with units greater than 1. 11200 is for the 1st 15 and 11201 is for each additional 10 or any part thereof. So you need the additional code for each block of 10 or piece of 10.
    11200 this is the 1st 15
    11201. This will take you thru 25
    11201 59. This goes thru 35
    11201 59. This goes thru 45
    11201 59. This goes thru 55
    11201 59. This will take care of the last 5

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    How would you bill the following? No matter what I do the 11200 seems to get denied. Any suggestions?

    99214/25
    17000
    17003
    17110/59
    11200/59
    or
    99213/25
    17000
    17003
    11200/59

  4. Default Derm coding
    How would you bill the following? No matter what I do the 11200 seems to get denied. Any suggestions?

    99214/25
    17000
    17003
    17110/59
    11200/59
    or
    99213/25
    17000
    17003
    11200/59

  5. Default Skin tags
    Have you carefully read the ENTIRE code description of skin tag removal- are you tring to also code destruction of the skin tag? That appears to be covered by the 11200 and 11201 codes.

  6. Default skin tags
    Do you use the V49.89 in order to bill Medicare for skin tags it must be noted that they are Intensly itchy, bleeding or painful. If it is one of these or all three you have to put the 701.9 and v49.89. If it is not medicare considers skin tags begnin and will not pay for them?

  7. Default Skin tag removal
    What if the dr did skin tag removal by shaving do you also use the 11200??

  8. Default
    Yes it is destruction by any method

  9. Default
    and it should be

    99214-25
    17000-59
    17003-59
    17110
    11200-59

  10. #10
    Location
    Ft. Worth, Texas
    Posts
    108
    Default
    17110 states benign lesions other than skin tags, so you would not use this code. Guidelines under Destruction states for sharp removal or electrosurgical destruction of skin tags and fibrocutaneous tags see 11200, 11201.

    Code as follows:

    99214-25
    11200
    11201 x 5

    Cathy

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