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  1. 1. 2007 CPT2007 CPT DermatologyDermatology DescriptorDescriptor ChangesChanges
  2. 2. Destructions ofDestructions of Benign andBenign and PremalignantPremalignant LesionsLesions
  3. 3. Destruction CodesDestruction Codes 1700017000 1700317003 1700417004 1711017110 1711117111
  4. 4. DestructionDestruction procedures willprocedures will be coded bybe coded by Type of lesion(s)Type of lesion(s)
  5. 5. Codes forCodes for premalignantpremalignant lesionslesions andand Codes for benignCodes for benign lesionslesions
  6. 6. What stays the sameWhat stays the same  Destruction DefinitionsDestruction Definitions • ablationablation • with or withoutwith or without curettementcurettement
  7. 7. Same InclusionsSame Inclusions  includesincludes anesthesiaanesthesia  closure notclosure not requiredrequired
  8. 8.  electrosurgeryelectrosurgery  curettementcurettement  laserlaser  cryosurgerycryosurgery  chemicalchemical Same Surgical MethodSame Surgical Method
  9. 9. What changedWhat changed 1700017000 1700317003 1700417004 Used only forUsed only for ““Premalignant”Premalignant” LesionsLesions
  10. 10. Updated CPTUpdated CPT DescriptorDescriptor forfor 17000 series17000 series
  11. 11.  Destruction (eg,Destruction (eg, laser surgery,laser surgery, electrosurgery,electrosurgery, cryosurgery,cryosurgery, chemosurgery,chemosurgery, surgicalsurgical curettement)curettement) premalignantpremalignant lesionslesions
  12. 12. Same coding useSame coding use  1700017000 – 1– 1stst lesionlesion  1700317003 – 2– 2ndnd - 14- 14 lesions, eachlesions, each  1700417004 – 15 or more– 15 or more lesionslesions
  13. 13. Same ApplicationSame Application  1700317003 never usednever used alonealone  1700317003 used withused with 1700017000 onlyonly
  14. 14. Same CPT RulesSame CPT Rules  1700317003 is add-onis add-on codecode  add-on codes areadd-on codes are modifier exemptmodifier exempt
  15. 15. Same CPT RulesSame CPT Rules  1700417004 used aloneused alone  1700417004 never usednever used withwith 1700017000 oror 1700317003
  16. 16. As of 2007 CPTAs of 2007 CPT 17000 Series are17000 Series are only used foronly used for premalignantpremalignant lesionslesions
  17. 17. Premaligant examplesPremaligant examples  destruction of 5destruction of 5 actinic keratosisactinic keratosis (AKs) of face(AKs) of face Use: 17000Use: 17000 17003 x417003 x4
  18. 18. Premaligant examplesPremaligant examples Destruction of AKs:Destruction of AKs:  6 on forehead,6 on forehead,  5 on scalp,5 on scalp,  1 on right cheek,1 on right cheek,  3 on left dorsal hand3 on left dorsal hand Use:Use: 1700417004
  19. 19. 2007 Coding2007 Coding Change forChange for Benign LesionsBenign Lesions
  20. 20. CPT Codes forCPT Codes for Benign LesionsBenign Lesions 1711017110 1711117111  used only for benignused only for benign lesions other thanlesions other than cutaneous vascularcutaneous vascular lesionslesions
  21. 21. Updated 2007Updated 2007 CPT DescriptorCPT Descriptor 1711017110 1711117111
  22. 22.  Destruction (eg, laserDestruction (eg, laser surgery, electrosurgery,surgery, electrosurgery, cryosurgery,cryosurgery, chemosurgery, surgicalchemosurgery, surgical curettement),curettement), of allof all benign lesions otherbenign lesions other than skin tags orthan skin tags or cutaneous vascularcutaneous vascular lesionslesions
  23. 23. Same Code UseSame Code Use  1711017110 – up to– up to 14 lesions14 lesions  1711117111 – 15 or– 15 or more lesionsmore lesions
  24. 24. Same ApplicationSame Application  stand alone codesstand alone codes  used separately,used separately, not togethernot together
  25. 25. ExamplesExamples  destruction of 2destruction of 2 irritatedirritated seborrheicseborrheic keratoseskeratoses Use:Use: 1711017110
  26. 26. ExamplesExamples  destruction of 4destruction of 4 verrucae vulgarisverrucae vulgaris Use:Use: 1711017110
  27. 27. ExamplesExamples  destruction of 8destruction of 8 irritated seborrheicirritated seborrheic keratoses & 7keratoses & 7 verrucae vulgarisverrucae vulgaris Use: 17111Use: 17111
  28. 28. Laser CodesLaser Codes  No change toNo change to laserlaser destructiondestruction codescodes
  29. 29. SameSame CPT DescriptorCPT Descriptor forfor Laser CodesLaser Codes 17106 series17106 series
  30. 30. Laser CodesLaser Codes  destruction ofdestruction of cutaneouscutaneous vascularvascular proliferativeproliferative lesions (eg,lesions (eg, laserlaser
  31. 31. Same Laser CodesSame Laser Codes  1710617106  1710717107  1710817108
  32. 32. Same coding useSame coding use  1710617106 - less than- less than 10 sq cm10 sq cm  1710717107 -- 10.010.0 -- 50.050.0 sq cmsq cm  1710817108 – over 50.0– over 50.0 sq cmsq cm
  33. 33. Same applicationSame application  used for:used for: •port wine stainsport wine stains •strawberrystrawberry hemangiomashemangiomas
  34. 34. Same applicationSame application  notnot used for:used for: • acneacne • rosacearosacea • telangiectasiatelangiectasia
  35. 35. QuestionsQuestions
  36. 36. True or False?True or False? 1. Report code 171101. Report code 17110 for thefor the destruction of 3destruction of 3 irritatedirritated seborrheicseborrheic keratosiskeratosis
  37. 37. True or False?True or False? 2. Codes 17000 –2. Codes 17000 – 17003 are used17003 are used only to reportonly to report destruction ofdestruction of actinicactinic keratoseskeratoses
  38. 38. True or False?True or False? 3. Report code 119003. Report code 11900 for thefor the administration ofadministration of local anestheia inlocal anestheia in conjunction withconjunction with the destructionthe destruction codescodes
  39. 39. True or False?True or False? 4. For the treatment4. For the treatment of 15 or moreof 15 or more actinic keratosis,actinic keratosis, report 17000report 17000 withwith 17004.17004.
  40. 40. True or False?True or False? 5. When treating5. When treating warts with laserwarts with laser destruction, usedestruction, use codes 17106-codes 17106- 17108.17108.
  41. 41. AnswersAnswers
  42. 42. 1.1. TRUETRUE According to theAccording to the descriptordescriptor change in CPTchange in CPT 2007, codes2007, codes 17110 and 1711117110 and 17111 are used for allare used for all benign lesions.benign lesions.
  43. 43. 2.2. TRUETRUE According to theAccording to the descriptor changedescriptor change in CPT 2007, codesin CPT 2007, codes 17000-17004 are17000-17004 are used only for theused only for the destructiondestruction ofof premalignantpremalignant lesions.lesions.
  44. 44. 3.3. FALSEFALSE The administrationThe administration of local anesthesiaof local anesthesia is included in allis included in all destructions asdestructions as well as biopsies,well as biopsies, excisions andexcisions and shave removals.shave removals.
  45. 45. 4.4. FALSEFALSE Code 17004 is usedCode 17004 is used for 15 or morefor 15 or more lesions. It is a standlesions. It is a stand alone code and notalone code and not reported with 17000reported with 17000 or 17003.or 17003.
  46. 46. 5.5. FALSEFALSE The laser destructionThe laser destruction codes 17106-17108 arecodes 17106-17108 are used only forused only for cutaneous vascularcutaneous vascular proliferative lesions.proliferative lesions. Destruction of wartsDestruction of warts would be reported withwould be reported with codes 17110-17111.codes 17110-17111.
  47. 47. ConclusionConclusion CPT changes forCPT changes for 20072007
  48. 48. 17000, 17003,17000, 17003, 17004 are used17004 are used only foronly for premalignantpremalignant lesionslesions
  49. 49. ConclusionConclusion Codes 17110 andCodes 17110 and 17111 are used for17111 are used for the destruction ofthe destruction of benign lesions.benign lesions.
  50. 50. ConclusionConclusion No change inNo change in the use ofthe use of codes 17106-codes 17106- 17108.17108.

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