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Old 10-11-2012, 01:21 PM
Michaelarjunan Michaelarjunan is offline
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Question skin tag removal

Example: 16 skin tags removed. As per cpt guidelines, 11200 is assigned for first 15 lesions. Can we still assign 11201 for the 16th lesion?

Please clarify code assignment for 19 lesions, 27 lesions, 32 lesions, 44 lesions.

Please clarify the language used in 11201 - "or part thereof". Does this mean half or the numbers ranging within the half of the lesions in the primary code?
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Old 10-11-2012, 02:55 PM
aprilsue aprilsue is offline
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16 skin tags
11200, 11201

19 skin tags
11200, 11201

27 skin tags
11200, 11201x2

32 skin tags
11200, 11200x2

44 skin tags
11200, 11200x3

I believe the "or part thereof" refers to the lesion.
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Old 10-11-2012, 10:33 PM
Michaelarjunan Michaelarjunan is offline
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Default Skin tag removal.

Hi Aprilsue:

Thanks for the reply. But I need still clarity on the terminology "or part thereof". we are asking this query with respect to CPC Examination to be held in October 21 2012.

11201 - refers to each additional 10 lesions or part thereof ......

Please throw some light on the term "OR PART THEREOF".

thanks.

MichaelArjunan.
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Old 10-12-2012, 07:50 AM
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mitchellde mitchellde is offline
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any part thereof means any part of the additional 10, 1 more that the 11200 is part of the additional 10. This was clarified in the CPT changes book.
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Old 10-12-2012, 09:08 AM
amberncrowley amberncrowley is offline
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Quote:
Originally Posted by aprilsue View Post
16 skin tags
11200, 11201

19 skin tags
11200, 11201

27 skin tags
11200, 11201x2

32 skin tags
11200, 11200x2

44 skin tags
11200, 11200x3

I believe the "or part thereof" refers to the lesion.


This is VERY helpful! Thank you for sharing!!
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Old 10-12-2012, 11:55 AM
Michaelarjunan Michaelarjunan is offline
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Thanks for the reply.

27 skin tags
11200, 11201x2

32 skin tags
11200, 11201x2

44 skin tags
11200, 11201x3

Note: Add-on code is the 11201 and not 11200.
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Old 10-14-2012, 11:05 AM
Texascoder64 Texascoder64 is offline
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Regarding skin tag removal is anyone having trouble with insurance paying for these codes?
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Old 10-14-2012, 11:13 AM
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mitchellde mitchellde is offline
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most payers do consider skin tag removal a cosmetic procedure. what does your denial state.
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Old 10-14-2012, 11:22 AM
Texascoder64 Texascoder64 is offline
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I do not have an actual denial - my drs just have not charged any of these codes yet. They are telling me to bill a destruction code of a benign lesion and I do not feel that is appropriate for scissor snip. Feedback is appreciated.
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Old 10-14-2012, 11:30 AM
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it depends on if you have a path report that states they are in fact benign. Many times when a patient has several skin tags the provider will send a few for path just to be sure, IF this has been performed in the past and the provider references the past path result then you could code it as a destruction of benign lesion. However if they are just bothersome or unsightly and are described as skin tags then you have no choice in the codes you will use. You will need the patient to sign an ABN prior to the destruction so that you can bill the patient.
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