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2007 CPT 2007 CPT Dermatology Dermatology
Descriptor Descriptor ChangesChanges
Destructions ofDestructions of
Benign and Benign and
Premalignant Premalignant
LesionsLesions
Destruction CodesDestruction Codes
17000170001700317003170041700417110171101711117111
Destruction Destruction procedures will be procedures will be
coded by coded by
Type of lesion(s)Type of lesion(s)
Codes for Codes for premalignantpremalignant
lesions lesions andand
Codes for benign Codes for benign lesionslesions
What stays the sameWhat stays the same
Destruction DefinitionsDestruction Definitions• ablationablation• with or without with or without curettementcurettement
Same InclusionsSame Inclusions
includes includes anesthesiaanesthesia
closure not closure not requiredrequired
electrosurgeryelectrosurgery curettementcurettement laserlaser cryosurgerycryosurgery chemicalchemical
Same Surgical MethodSame Surgical Method
What changedWhat changed170001700017003170031700417004
Used only forUsed only for““Premalignant”Premalignant”
LesionsLesions
Updated CPT Updated CPT
DescriptorDescriptor forfor
17000 series17000 series
Destruction (eg, Destruction (eg, laser surgery, laser surgery, electrosurgery, electrosurgery, cryosurgery, cryosurgery, chemosurgery, chemosurgery, surgical surgical curettement) curettement) premalignant premalignant lesionslesions
Same coding useSame coding use
1700017000 – 1 – 1stst lesion lesion 17003 17003 – 2– 2ndnd - 14 - 14 lesions, eachlesions, each
1700417004 – 15 or more – 15 or more lesionslesions
Same ApplicationSame Application
1700317003 never used never used alonealone
1700317003 used with used with 1700017000 only only
Same CPT RulesSame CPT Rules 1700317003 is add-on is add-on codecode
add-on codes areadd-on codes aremodifier exemptmodifier exempt
Same CPT RulesSame CPT Rules
1700417004 used alone used alone 1700417004 never used never used
with with 1700017000 oror 1700317003
As of 2007 CPTAs of 2007 CPT
17000 Series are 17000 Series are
only used for only used for
premalignant premalignant lesionslesions
Premaligant examplesPremaligant examples destruction of 5destruction of 5actinic keratosis actinic keratosis (AKs) of face(AKs) of face
Use: 17000Use: 17000
17003 x417003 x4
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
2007 Coding 2007 Coding Change for Benign Change for Benign
LesionsLesions
CPT Codes for CPT Codes for Benign LesionsBenign Lesions
1711017110 1711117111 used only for benign used only for benign lesions other than lesions other than cutaneous vascular cutaneous vascular lesionslesions
Updated 2007 CPT Updated 2007 CPT DescriptorDescriptor
17110171101711117111
Destruction (eg, laser Destruction (eg, laser surgery, electrosurgery, surgery, electrosurgery, cryosurgery, cryosurgery, chemosurgery, surgical chemosurgery, surgical
curettement), curettement), of all of all benign lesions other benign lesions other than skin tags or than skin tags or cutaneous vascular cutaneous vascular lesionslesions
Same Code UseSame Code Use
1711017110 – up to – up to 14 lesions14 lesions
1711117111 – 15 or – 15 or more lesionsmore lesions
Same ApplicationSame Application
stand alone codes stand alone codes used separately, used separately, not togethernot together
ExamplesExamples destruction of 2 destruction of 2 irritated irritated seborrheic seborrheic
keratoseskeratoses
Use:Use: 1711017110
ExamplesExamples
destruction of 4 destruction of 4 verrucae vulgarisverrucae vulgaris
Use:Use: 1711017110
ExamplesExamples destruction of 8 destruction of 8 irritated seborrheic irritated seborrheic keratoses & 7 keratoses & 7 verrucae vulgarisverrucae vulgaris
Use: 17111Use: 17111
Laser CodesLaser Codes
No change to No change to laser destruction laser destruction codescodes
Same Same CPT DescriptorCPT Descriptor
forfor
Laser CodesLaser Codes
17106 series17106 series
Laser CodesLaser Codes destruction of destruction of cutaneous cutaneous vascular vascular proliferative proliferative lesions (eg, laser lesions (eg, laser
technique)technique)
Same Laser CodesSame Laser Codes
1710617106 1710717107 1710817108
Same coding useSame coding use 1710617106 - less than - less than 10 10 sq cmsq cm
1710717107 -- 10.0 10.0 -- 50.0 50.0 sq cmsq cm
1710817108 – over 50.0 – over 50.0 sq cmsq cm
Same applicationSame application used for:used for:•port wine stainsport wine stains• strawberry strawberry hemangiomashemangiomas
Same applicationSame application notnot used for: used for:• acneacne• rosacearosacea• telangiectasiatelangiectasia
QuestionsQuestions
True or False?True or False?
1. Report code 17110 1. Report code 17110 for the destruction for the destruction of 3 irritated of 3 irritated seborrheic seborrheic keratosiskeratosis
True or False?True or False?
2. Codes 17000 – 2. Codes 17000 – 17003 are used 17003 are used only to report only to report destruction of destruction of actinic keratosesactinic keratoses
True or False?True or False?
3. Report code 11900 3. Report code 11900 for the for the
administration of administration of local anestheia in local anestheia in conjunction with conjunction with the the destruction destruction codes codes
True or False?True or False?
4. For the treatment 4. For the treatment of 15 or more of 15 or more actinic actinic keratosis, keratosis, report report 17000 17000 with 17004.with 17004.
True or False?True or False?
5. When treating 5. When treating warts with laser warts with laser destruction, use destruction, use codes 17106-codes 17106-17108. 17108.
AnswersAnswers
1. 1. TRUETRUEAccording to the According to the descriptor change descriptor change in CPT 2007, codes in CPT 2007, codes 17110 and 17111 17110 and 17111 are used for all are used for all benign lesions.benign lesions.
2. 2. TRUETRUE According to theAccording to the
descriptor change descriptor change in CPT 2007, codes in CPT 2007, codes 17000-17004 are 17000-17004 are
used only for the used only for the destruction destruction of of premalignant premalignant lesions.lesions.
3. 3. FALSEFALSEThe administration The administration of local anesthesia of local anesthesia is included in all is included in all
destructions as destructions as well as well as biopsies, biopsies, excisions excisions and and shave removals.shave removals.
4. 4. FALSEFALSECode 17004 is used Code 17004 is used
for 15 or more for 15 or more lesions. lesions. It is a stand It is a stand alone alone code and not code and not reported with 17000 reported with 17000 or or 17003.17003.
5. 5. FALSEFALSEThe laser destruction The laser destruction
codes 17106-17108 are codes 17106-17108 are used only for used only for cutaneous cutaneous vascular vascular proliferative proliferative lesions. lesions. Destruction of Destruction of warts warts would be reported would be reported with with codes 17110-17111.codes 17110-17111.
ConclusionConclusion
CPT changes for CPT changes for 20072007
17000, 17003, 17000, 17003, 17004 are used 17004 are used only for only for
premalignant premalignant lesionslesions
ConclusionConclusion
Codes 17110 and Codes 17110 and 17111 are used for 17111 are used for the destruction of the destruction of benign lesions.benign lesions.
ConclusionConclusion
No change in No change in the use of codes the use of codes 17106-17108.17106-17108.