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Preauricular Skin Tag Removal

Camille Posted Wed 26th of February, 2020 17:23:10 PM
QUESTION: After removing the skin tag via blade and scissor, the provider ultimately had to do an elliptical incision and sutures. Is CPT 11440 appropriate? PROCEDURE: Excision of right preauricular tag---------------------------------------------------------------- PROCEDURE NOTE: "...After general anesthetic was induced, 1% lidocaine with 1:100,000 epinephrine was injected into the base of the tag after alcohol prep. The patient was then prepped and draped in the usual sterile fashion, and the tag was removed using a 15 blade and scissors. Initially, once the tag was cut at its base, there was still thickened fibrotic tissue, and a small ellipse was made around that and that was sutured with 3 interrupted 5-0 fast-absorbing gut sutures. Steri-Strips and bacitracin were placed." THANK YOU VERY MUCH!
SuperCoder Answered Thu 27th of February, 2020 06:54:45 AM

Hi,

 

Thanks for your question.

 

As per the documentation it appears that the skin tag was removed.

 

Code 11440 suggests Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less

 

Code 11440 is for excision of other benign lesion except skin tag.

 

Kindly check code 11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions.

 

Hope this helps.

 

Thanks.

Camille Posted Thu 27th of February, 2020 14:15:09 PM
It does help, thank you! FOLLOW UP QUESTION: If this is an accessory auricle (vs. skin tag), would it be appropriate to bill 11440?
SuperCoder Answered Fri 28th of February, 2020 12:05:09 PM

Hi,

Thanks for the followup.

Accessory auricle is benign anomaly, therefore code 11440 seems to be appropriate to use.

Thanks.

 

Camille Posted Fri 28th of February, 2020 12:19:59 PM
Thank you very much!
SuperCoder Answered Mon 02nd of March, 2020 00:12:57 AM

Thank you, happy to help.

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