2. PROCEDURES
1. 96910: Photochemotherapy; Tar And Ultraviolet B (Goeckerman Treatment) Or Petrolatum And
Ultraviolet B
• Need Approval
Check Diagnosis And Approved Quantity , Authorization Expiry.
Note : Seen And Examined. Explained The Procedure To The Patient, Patient
Understood. Photo Therapy Session For Nb-uvb . Today Patient Received Dose Of
350 For 1.3 Minutes. Skin Intact After Procedure .And The Patient Sent Home With
Appropriate Knowledge Regarding The Procedure Done
4. • 3) 95044:Patch or application test(s) (specify number of tests)
Diagnosis : Allergic skin condition
Z01.82 for Encounter for allergy testing
Procedure note : Seen And Examined. Explained The Procedure To The Patient, Patient Understood .
Consent For Procedure Signed And Secured. Total Of 40 Allergen Patches Applied Comprising Of
Na Standard Series And Cosmetics Series. Procedure Tolerated Well Which Lasted For 5 Minutes.
skin intact after procedure .And The Patient Sent Home With Appropriate Knowledge Regarding The
Procedure Done
QTY must check
5. 95004: Percutaneous Tests (Scratch, Puncture, Prick) With Allergenic Extracts, Immediate Type
Reaction, Including Test Interpretation And Report, Specify Number Of Tests
• Patient came for Prick test History taken: not on medication. Not pregnant.
Informed consent signed. Skin preparation done cleansed with alcohol.
markings done. Prick test done by Dra. Mouza. Procedure well tolerated. Post
care rendered. Post instructions explained. No untoward reactions noted after
the procedure. Total procedure time: 30 mins
• Qty must check
6. DESTRUCTION(method,total time taken,total lesion)
• 1.)17110: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical
curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14
lesions
•
2.)17111: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical
curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or
more lesions
• DIAGNOSIS: Thiqa – Warts + Local infection of the skin and subcutaneous tissue
Daman – B08.1Molluscum + Local infection of the skin and subcutaneous tissue
B07.0 : Plantar wart B07.9: VIRAL VART L08. 9 : Local infection of the skin and subcutaneous tissue,
unspecified
Procedure note : Seen And Examined.Explained The Procedure To The Patient, Patient
Understood. Consent For Procedure Signed And Secured.15 Nodules On The (Plantar
Surface Of Right Foot) treated by cryosurgery.Procedure Tolerated Well Which Lasted For
10 Minutes.skin intact and no redness after procedure .And The Patient Sent Home With
Appropriate Knowledge Regarding The Procedure Done
7. Biopsy
• 11100: Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless
otherwise listed; single lesion
• 11101: Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless
otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure)
Diagnosis : From report
Procedure note : Skin Biopsy Done On Left Inner Thigh. Sample Collected. Consent Signed Before The Procedure.
Patient Tolerated The Procedure Well. No Complications Noted. Procedure Lasted At 10 Mints
or
• Consent For Skin Biopsy Obtained.Done With 2% Lidocaine ; Total Of 0.3 Ml Injected 3 Mm Punch Biospy Close
With 3-0 Rapid Viprone Synthetic Absporable Single Inturrupted Suture. Dressing With Fucidin Oitment And Non
Woven/Tagaderm.
8. 11900: Injection, Intralesional; Up To And Including
7 Lesions
• Intralesional Methylprednisolone 20 Mg Per Ml Total Of 0.5 Ml
Injected^consent Obtained. Depo- Medrol 80mg/Cc Injected 0.1cc On
Left Shoulder 1lesion. Fucidin Ointment Applied .Procedure Tolerated
Well, Which Take 10 Minutes.
9. 11306: Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Scalp,
Neck, Hands, Feet, Genitalia; Lesion Diameter 0.6 To 1.0 Cm
• ^Consent Obtained. Left Frontal Scalp 0.6cm Brown Papule Shaved
With Local Anesthesia Injectd 0.5ml. Cauterized The Base. Dressing
With Fucidin Ointment. Procedure Tolerated Well, Which Take 10
Minutes .Biopsy Sample Sent To Lab.
10. 11900: INJECTION, INTRALESIONAL; UP TO
AND INCLUDING 7 LESIONS
• Consent Obtained. Depo- Medrol 80mg/Cc Injected 0.1cc On Left
Shoulder 1lesion. Fucidin Ointment Applied
• DIAGNOSIS : BENIGN LIPOMATOUS NEOPLASM OF SKIN, SUBCU OF
LEFT ARM
11. 10040: Acne Surgery (Eg, Marsupialization, Opening Or Removal Of Multiple Milia, Comedones, Cysts,
Pustules)
• Consent Obtain. Skin Preparation Done. Procedure Done On Acne
Lesion (1) On Forehead. Fucidin Ointment Applied Covered With
Bandage. PROCEDURE TOLERATED WELL,WHICH TOOK 10 MINUTES.
12. 11422 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere),
scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
• Patient Came For Cyst Removal (3 Cysts On Scalp). Informed Consent
Taken. Skin Preparation Done, Shaved And Cleansed With Bethadine
Solution. Procedure Done By Doctor Mouza Followed All Aseptic
Technique. Injected 2% Lidocaine 1cc For Each Cyst. Used Kiato
Scalpel Size15 For Incision And Closed By Rapid Viprone Absorbable
Surgical Suture 3-0. Fucidin Ointment Applied. No Untoward
Reactions Noted. Excised Diameter 1.5 Cm
13. 87220: Tissue examination by KOH slide of samples from skin, hair,
or nails for fungi or ectoparasite ova or mites (eg, scabies)-
Treatment Notes : : Seen And Examined The Patient In
The Clinic With Presenting Complains Of Distal
Onycholysis Some Toe And Finger Nails . Plan To Tissue
Examination . Explained The Procedure To The Patient,
And Well Understood. Consent For Procedure Signed
And Secured. The Site Is Cleansed Taken From Big Toe
Nail Yellowish Changed , Right Side .Procedure
Tolerated Well, Which Took 10 Minutes ,Post
Treatment Care Done And Post Treatment Instruction
Was Instructed.
14. • Excision (Benign Lesion) - Benign neoplasm (with specific site)
• - Cyst Excision – Cyst (with specified site)
• - Alopacia Treatment (covered only in thiqa)
• For coverage - ICD and CPT codes must be codes to the highest level of specificity
• - Sunburn - not covered
Claim contain Xerosis must code in level 3
