Amanda Posted Wed 02nd of March, 2011 21:40:30 PM
Our practice billed CPT 17000 for the removal of warts on one patient and molluscum contagiosum on another patient. Both charges are being denied payment. Should we be billing this some other way?
SuperCoder Answered Fri 04th of March, 2011 08:07:35 AM
Need the following info:
1. Dx codes used in each case.
2. Denial Code/statement.
3. What is the Insurance ?
4. State ?
Amanda Posted Fri 04th of March, 2011 18:20:09 PM
1. 078.10 Viral Warts Unspec.
2. The procedure is considered experimental for the diagnosis submitted.
SuperCoder Answered Fri 04th of March, 2011 19:20:08 PM
Sorry to mention the most important thing. That is as follows: Use 17000 for destruction of AK (actinic keratoses). But, Coders should no longer use CPT codes 17000 and 17003 for destruction of warts or molluscum contagiosum, as these codes now exclude destruction of benign lesions. CPT codes 17110 and 17111 are now used for destruction of common or plantar warts.
If the physician destroys fifteen or more warts (or molluscum), then use code 17111. Even if the physician destroys thirty-five warts, it is appropriate to only use the code 17111 a single time.
Formal definitions of the codes are as follows:
17110 - Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular lesions; up to 14 lesions
17111 - 15 or more lesions