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Keratosis Removal Codes

  1. #1
    Default Keratosis Removal Codes
    Exam Training Packages

    Please copy and paste the link into your browser. Can anyone please tell me if the following article/encounter form is accurate? I am having trouble deciphering between what my physician is doing (I'm at a medical billing company, so I don't have access to medical records at my hands). He is coding 17110 for seb. keratosis, but according to the article above, he should be using 17000/17003.

    Thanks so much!

  2. #2
    Concord, NC or Rochester, NY
    The article is correct. However, without the note, how do you know what the provider is performing?

  3. #3
    Default Keratosis Removal
    Thank you for responding. Right now we receive the encounter form electronically with the codes circled by the physician.

    However, he will write "7 on back, 1 on arm," etc, which makes me think these should be 17000 x 1 and 17003 x 7, but if they are seborrheic, aka, benign lesions, then 17110 would be correct and the article would be incorrect.

    17000 CPT description says "premalignant" lesions. 17110 says benign lesions. Help?

  4. #4
    17000 should really only be used for Actinic Keratoses..these are the premalignant lesions.... I use 17110 for the Sk's
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  5. #5
    The date of the article states 2005, I believe the changes to the CPTs happened after (premalignant verbiage) It is entirely possible at the time of publication the article was correct, but it is no longer so.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  6. #6
    Default Keratosis Removal
    Thank you so much. I referenced the CPT Assitant 2009, page 7 and it includes clarification on these codes.


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