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DX for Verrucous Keratosis

  1. #1
    Default DX for Verrucous Keratosis
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    I need a second opinion on the ICD-9 for verrucous keratosis. 702.19?


  2. #2
    I would say 701.8 myself

  3. #3
    I vote for 702.8

  4. #4
    i vote for 702.8

  5. #5
    Default DX
    The encoder directs me to 702.19 but I also agree with the 702.8

  6. #6
    Duluth, Minnesota
    I use the 702.19 - it's more specific as to "keratosis" - other / NOS - (and we do know it's a keratosis, verrucous keratosis) as opposed to "other specified dermatoses"...
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  7. Wink
    i would use 702.19 because verrucose is a wartlike w/ raised portions

  8. #8
    702.19 reads "Other seborrheic keratosis".

    Unless the documentation states the verruca is caused /related to the seborrhea, I would go with 702.8 "other specified dermatosis".

  9. #9
    Duluth, Minnesota
    verrucous keratosis IS a form of seborrheic keratosis - hence "other/NOS" of seborrheic keratosis.
    "Some seborrheic keratoses have a verrucous architecture that can produce a clinical and histologic appearance similar to an aging viral wart."
    {but again, just my opinion and based on my experience in coding verrucous keratosis}
    Donna, CPC, CPC-H

  10. #10
    I will go with 702.19. Thank you all that replied

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