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17000 or 17003

Karin Posted Mon 06th of February, 2012 14:35:34 PM

Second request for an answer to my question - Thxs!

Below is the note my dermatologist is billing a 17000 or 17003 or both. The note also has a face which shows each lesion that is treated with the chemical solution. My question is can you bill the 17000/17003/17004 codes off of that documentation. It looks like a chemical peel to me but for the Actinic Damage he bills with those codes unlike the acne diagnosis is a chemical peel. Any help would be greatly appreciated..Thxs

Actinic Damage: solar elastosis and reticulated light tan macules in sun distribution distributed on the face and nose.

Plan: Chemical Peel Beta Salicylic Acid.
A chemical peel with 20% Beta Salicylic acid was performed on the face and nose for 15 minutes. Prior to the procedure, written consent was obtained and risks were reviewed, including but not limited to: redness, peeling, blistering, pigmentary change, scarring, infection, and pain.The treated area was degreased with prepeel cleanser, and vaseline was applied for protection of mucous membranes. The peel self-neutralized. After the procedure, the patient's face and nose was washed with soap and water, and a post-peel cream was applied. Sun protection and postcare instructions were reviewed with the patient.

SuperCoder Answered Mon 06th of February, 2012 16:54:27 PM

Both processes refine the skin’s appearance in a relatively short period of time. However, in chemical exfoliation, only superficial layers of the skin are removed whereas deeper layers of skin are removed in the chemical peeling process.
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Chemical peels are acids that are applied on the skin, which facilitate a controlled shedding of the skin’s surface.
Some of the more common types of acids used in superficial peels include:
- Glycolic acid – used to refine aging skin and for brightening dark spots
- Lactic acid - used for sensitive skin
- Salicylic acid - used for acne prone skin.
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So, 17360 Chemical exfoliation for acne (eg, acne paste, acid)-

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