tci Part B Insider - 2015 Issue 32

Reader Questions: Prep ABN for Skin Tag Removals

Question: An established patient requested skin tag removal during another service. The dermatologist chemically burned off the tag. How should I report this? Answer: The insurer will probably not cover the destruction — and almost $90 is at stake. Best bet: Ask the patient to sign an ABN before you perform the procedure, since many payers consider skin tag removal cosmetic. When it comes to assigning a number, skin tag removal including destruction puts you back into the 11000 skin series, rather than the 17000 destruction family. The CPT® skin tag numbering system works this way. For removal...

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