David Posted Tue 30th of September, 2014 11:41:54 AM
Our physician documented Intralesional Bleomycin for Verruca Vugaris but coded it 17110, J9040 because she considers this a destruction of the wart. I believe this should be coded as 11900, J9040 because she used an injection to destroy the wart. Please advise as to who is correct.
SuperCoder Answered Tue 30th of September, 2014 17:31:44 PM
Thank you for your question.
Please see the clinical responsibility below for each code:
11900:The physician inserts a 25 or 30 gauge needle intralesionally and injects a drug. The needle is removed once the tissue expands and fills with the fluid. Use this code for injection of up to 7 lesions.
When the patient is appropriately prepped and anesthetized, typically by local anesthesia, the provider destroys the benign lesions, such as warts, without destroying the surrounding tissue. He may expose the targeted lesion to laser beam, high frequency electrical current, or chemical agents. He also may withdraw heat from targeted tissue, use liquid nitrogen, or surgically eradicate the lesion. Use this code once for one to 14 lesions other than skin tags or cutaneous vascular proliferative lesions.