tci General Surgery Coding Alert - 2007 Issue 2

Your Lesion Destruction Coding Gains Precision for 2007

Actinic keratosis dx gives a clue to malignant status Beginning Jan. 1, you can choose CPT codes to distinguish between destruction of premalignant and benign lesions.CPT 2007 has revised the descriptors for 17000-17004 to make them apply only to premalignant lesions, states the AMA's CPT Changes 2007: An Insider's View. Similarly, you should now reserve 17110 and 17111 for benign lesions other than skin tags or cutaneous vascular proliferate lesions, as follows:- 17000 -- Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses); first lesion- +17003 -- - second through 14...

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