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  #1  
Old 09-18-2008, 03:11 PM
tomtom2 tomtom2 is offline
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Default DX for Verrucous Keratosis

I need a second opinion on the ICD-9 for verrucous keratosis. 702.19?

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  #2  
Old 09-18-2008, 05:57 PM
lphillips lphillips is offline
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I would say 701.8 myself
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Old 09-19-2008, 10:05 AM
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I vote for 702.8
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Old 09-21-2008, 05:52 PM
harshila harshila is offline
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i vote for 702.8
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Old 09-22-2008, 06:15 AM
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Default DX

The encoder directs me to 702.19 but I also agree with the 702.8
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Old 09-22-2008, 07:30 AM
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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}
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Old 09-22-2008, 09:42 AM
triplejok triplejok is offline
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i would use 702.19 because verrucose is a wartlike w/ raised portions
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Old 09-22-2008, 09:44 AM
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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".
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Old 09-22-2008, 09:54 AM
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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}
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Old 09-22-2008, 10:29 AM
tomtom2 tomtom2 is offline
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I will go with 702.19. Thank you all that replied
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