PODIATRY medicare national average allowed charges with possible ICD-9 codes-*2014 CPT CODE 11200 Removal of Skin Tags (up to & including 15 lesions) $96.28 11201 Each add. ten lesions (in add. to 11200 list separately) $21.13 17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery $82.19 chemosurgery, surgical curettement), premalignant lesion (eg, actinic keratoses); first lesion 17003 2nd-14th lesions; each (list separately in addition $10.96 to code for first lesion) use in conjunction with 17000 17004 Destruction (eg, laser surgery, electrosurgery, cryosurgery $163.20 chemosurgery, surgical curettement), premalignant lesion (eg, actinic keratoses); 15 or more lesions Do not report 17004 in conjunction with 17000-17003 17106 Destruction of cutaneous vascular lesions: less than 10 sq. cm. $370.23 17107 Destruction of 10.0-50.0 sq. cm. $479.03 17108 Destruction of over 50.0 sq. cm. $697.41 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery $119.37 chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular lesions; up to 14 lesions 17111 Destruction 15 or more lesions $141.67 17260 Destruction, malignant lesion (eg, laser surgery, electrosurgery, $102.15 cryosurgery, chemosurgery, surgical curettement) trunk, arms, legs; lesion diameter 0.5cm or less (see codes 17261-17266) 17261 Destruction: diameter 0.6 to 1.0cm $155.76 17262 Destruction: diameter 1.1 to 2.0cm $189.81 17263 Destruction: diameter 2.1 to 3.0cm $207.42 17266 Destruction: diameter over 4.0cm $253.21 17270 Destruction malignant lesion, (eg, laser surgery, electrosurgery, $163.20 cryosurgery, chemosurgery, surgical curettement) scalp, neck, hands, feet, genitalia; lesion diameter 0.5cm or less 17271 Destruction diameter 0.6 to 1.0cm $177.68 17272 Destruction diameter 1.1 to 2.0cm $202.34 17273 Destruction 2.1 to 3.0cm $226.21 17274 Destruction diameter 3.1 to 4.0cm $267.30 17276 Destruction diameter over 4.0cm $310.74 This information is provided to assist you in determining possible codes for procedures performed and are presented as examples only, as allowed charges will vary from state to state and carrier to carrier. Please check your current coding book for a more extensive list and for any coding changes. Possible ICD-9 Procedural and Diagnostic codes are listed under each group of CPT Codes-these are presented as samples only. To ensure you are ICD-10 prepared, you can visit the coder’s corner section on: www.icd10prepared.com * Data derived from the Centers for Medicare and Medicaid Services. * CPT is a trademark of the American Medical Association. *2014 national averages/payment amounts were calulated using all modifiers and non-facility prices. Prices reflect data through 03.29.2014 Please visit: www.cms.gov/apps/physician-fee-schedule to obtain your state’s reimbursement fees. CryoPen, Inc. • Technical Support: 1.877.246.3955 • ©copyright all rights reserved MM-061-R5 04.01.2014 ICD-9 CM Procedural 86.3 Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue. ICD-9 CM Diagnostic 701.9 Unspecified hypertrophic and atrophic condition of skin. 757.39 Other specified congential anomaly of skin. ICD-9 CM Procedural 86.3 Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue. ICD-9 CM Diagnostic 702.0 Actinic Keratosis ICD-9 CM Procedural 86.3 Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue. ICD-9 CM Diagnostic 216.7 Benign neoplasm of skin lower limb, including hip. 216.8 Benign neoplasm of other specified sites of skin. 228.01 Hemangioma of skin and subcuta- neous tissue. 228.09 Hemangioma of other sites. 448.1 Nevus, non-neoplastic. 448.9 Other non unspecified capillary dis- eases. 709.1 Vascular disorder of skin. 757.32 Congential vascular hamartomas. ICD-9 CM Procedural 86.3 Other local excision or destruction of lesion or tissue of skin and subcutaneous ICD-9 CM Diagnostic 173.7 Other malignant neoplasm of skin of lower limb, including hip 209.34 Merkel cell carcinoma of the lower limb. 209.75 Secondary Merkel cell carcinoma 232.7 Carcinoma in situ of skin of lower limb, including hip. 238.2 Neoplasm of uncertain behavior of skin. ICD-9 CM Procedural 86.24 Chemosurgery of skin 86.3 Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue ICD-9 CM Diagnostic 078.0 Molluscum contagiosum 078.10 Viral warts, unspecified 078.12 Plantar wart 078.19 Other specified viral warts 216.8 Benign neoplasm of other specified sites of skin. 706.2 Sebaceous cyst
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PODIATRYmedicare national average allowed charges with possible ICD-9 codes-*2014
CPT CODE
1120 0 Remo val o f Sk i n Tags (up to & inc l ud ing 15 le si ons ) $96 .28
1120 1 Each add. te n l esi on s (i n add. to 1 1200 li s t separatel y ) $21 . 13
17 00 0 De str uct io n (eg , l aser sur gery , e lectr osurge ry , cr yosurger y $82. 19chemo surger y , surg ica l cur etteme nt) , pre mal ignant l es io n (eg , act in i c ker ato ses ) ; f ir st les io n
17 00 3 2nd- 14 th l es io ns; each ( l is t separatel y i n addit i on $10.96to co de f o r f ir s t le si on) use in co nj un ct io n with 170 00
17 00 4 De str uct io n (eg , l aser sur gery , e lectr osurge ry , cr yosurger y $163.20chemo surger y , surg ica l cur etteme nt) , pre mal ignant l es io n (eg , act in i c ker ato ses ) ; 15 or m or e l esi on sDo no t r epor t 17 004 in conj unct io n wi th 17 000 -17 00 3
17 106 De str uct io n o f cutaneo us vascul ar l esi ons : l ess than 10 sq . cm. $37 0.2 3
17 107 De str uct io n o f 10.0 -50.0 sq . cm . $47 9.03
17 108 De str uct io n o f o ver 50 .0 sq . cm. $697 .41
171 10 Destruct i on (e g , laser surger y , e le ctro sur gery , cryo sur gery $1 19 .3 7chem osur ge ry , surg i ca l cur ettem ent) , o f benign le si ons o ther thansk in tags o r cutan eous vascu lar les i ons ; up to 14 l esi ons
171 1 1 Destruct i on 15 o r m o re les io ns $141 .67
172 60 Destruct i on, mal ignant l es io n (eg , l aser sur gery , e lectr osurge ry , $102. 15cryo surger y , chem osurger y , surg i cal cur ettem ent) t r unk , arm s , l egs;l esi on d iam eter 0.5cm o r less (see co des 172 61 - 17 266)
172 61 Destruct i on: d iam eter 0 .6 to 1 .0cm $15 5.7 6
172 62 Destruct i on: d iam eter 1 . 1 to 2 .0cm $189.8 1
172 63 Destruct i on: d iam eter 2 . 1 to 3 .0cm $20 7.4 2
172 66 Destruct i on: d iam eter o ver 4 .0 cm $25 3.21
172 70 Destruct i on mal ignant l es io n, (eg , l aser sur gery , e lectr osurge ry , $163 .20cryo surger y , chem osurger y , surg i cal cur ettem ent) sca lp , neck , hands , f eet , geni ta li a ; l esi on d iam eter 0.5cm o r less
172 71 Destruct i on d iam eter 0.6 to 1 .0cm $17 7.68
172 72 Destruct i on d iam eter 1 . 1 to 2 .0cm $20 2.34
172 73 Destruct i on 2 . 1 to 3.0cm $226 .21
172 74 Destruct i on d iam eter 3 . 1 to 4 .0cm $267 .3 0
172 76 Destruct i on d iam eter o ver 4 .0cm $3 10.7 4
This information is provided to assist you in determining possible codes for procedures performed and are presented as examples only, asallowed charges will vary from state to state and carrier to carrier. Please check your current coding book for a more extensive list and forany coding changes.
Possible ICD-9 Procedural and Diagnostic codes are listed under each group of CPT Codes-these are presented as samples only. To ensureyou are ICD-10 prepared, you can visit the coder’s corner section on: www.icd10prepared.com
* Data derived from the Centers for Medicare and Medicaid Services. * CPT is a trademark of the American Medical Association.*2014 national averages/payment amounts were calulated using all modifiers and non-facility prices. Prices reflect data through 03.29.2014
Please visit: www.cms.gov/apps/physician-fee-schedule to obtain your state’s reimbursement fees.
CryoPen, Inc. • Technical Support: 1.877.246.3955 • ©copyright all rights reserved MM-061-R5 04.01.2014
ICD-9 CM Pro cedura l
86 .3 Other l oca l exc i si on or destr uct i on of
l esi on or t i ssue o f ski n and subcutaneo us
t is sue.
ICD-9 CM Diagno st ic
7 01 .9 U nspecif ied hypertr ophi c and
atro phic condi t io n o f sk i n .
7 57 .39 Other spe cif ied co ngent i a l an om aly
o f sk in .
ICD-9 CM Pro cedura l
86 .3 Other l oca l exc i si on or destr uct i on of
l esi on or t i ssue o f ski n and subcutaneo us
t is sue.
ICD-9 CM Diagno st ic
7 02.0 Act i n ic Kerato s is
ICD-9 CM Pro cedura l
86 .3 Other l oca l exc i si on or destr uct i on of
l esi on or t i ssue o f ski n and subcutaneo us
t is sue.
ICD-9 CM Diagno st ic
216 .7 Ben ign n eopl asm o f sk i n l ower l im b,
in c lud ing hip .
216 .8 Beni gn neo plasm of o ther specif ied
s ites o f sk i n .
228.0 1 Hem angio m a of sk in and subcuta-
neo us t is sue .
228.0 9 Hem angio m a of o ther s ites .
44 8. 1 N evus , no n-neo pl as t ic .
44 8.9 Other no n unspeci fi ed capil lar y d is -
eases .
7 09. 1 Vascu lar d isor der of sk in .
7 57 .32 Con gent ia l vascu l ar hamar tom as.
I CD-9 CM Pr ocedur al
8 6 .3 Other lo ca l e xc is io n o r destr uct io n o f
l es io n o r t is sue of sk in and subcutane ous
ICD-9 CM Di agnost i c
17 3 .7 Other mal ignant neopl asm o f sk in o f
lo wer l i mb, i nc lud i ng hi p
209.3 4 Merke l ce ll carc i nom a o f the l ower
li mb.
209.7 5 S eco ndar y M erkel cel l car c in om a
232.7 Car c ino ma i n s it u of sk in of l ower
li mb, i nc lud i ng hi p .
238 .2 N eo pl asm o f uncer ta in beh av i or o f
sk i n .
I CD-9 CM Pr ocedur al
8 6 .24 Ch emo sur ger y of sk in
8 6 .3 Other l oca l exc i si on or destr uct i on
o f le si on or t is sue o f sk i n and subcutaneo us
t i s sue
I CD-9 CM Di agnost ic
0 78 .0 M ol luscum con tagi osum
0 78 . 10 Vi ra l warts , unspeci fi ed
0 78 . 12 P lantar wart
0 78 . 19 Other speci fi ed v i ra l warts
216 .8 Ben ign n eopl asm o f other speci fi ed
s i tes of sk in .
7 06 .2 Se baceo us cys t
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