ICD 10 Codes. L82.1 Seborrheic Keratosis L82.0 Irritated Seborrheic Keratosis

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1 Leon H. Kircik M.D. Clinical Associate Professor of Dermatology Indiana University School of Medicine Mount Sinai Medical Center, New York, NY Physicians Skin Care, PLLC Louisville, KY 1

2 ICD 10 Codes L82.1 Seborrheic Keratosis L82.0 Irritated Seborrheic Keratosis

3 ICD 10 Codes L40.0 Psoriasis L40.59 Psoriatic Arthritis Biologics

4 CONTACT DERMATITIS Dx Code L23 CPT Code x Units x 99 Units x 1 Unit DO NOT x 100 Units x 50 Units x 50 Units Will pay only 10 units Denial as duplicate claim

5 L23 allergic contact dermatitis L23.0 allergic contact dermatitis due to metals L23.1 allergic contact dermatitis due to adhesives L23.2 allergic contact dermatitis due to cosmetics L23.3 allergic contact dermatitis due to drugs in contact with the skin L23.4 allergic contact dermatitis due to dyes L23.5 allergic contact dermatitis due to other chemical products L23.6 allergic contact dermatitis due to food in contact with the skin L23.7 allergic contact dermatitis due to plants except food L23.8 allergic contact dermatitis due to other agents L23.81 allergic contact dermatitis due to animal (cat) (dog) dander L23.89 allergic contact dermatitis due to other agents L23.9 allergic contact dermatitis, unspecified cause

6

7 11100: Skin biopsy site : Skin biopsy site 2 through n in units 69100: Ear 67810: Eyelid 40490: Lip 11755: Nail 54100: Penis 56605: Vulva

8 Rash, unknown R21

9 Neoplasm of unspecified behavior of bone, soft tissue, and skin D49.2 Lip vermillion border D49.0 Penis D49.5 Scrotum D49.5 Vulva D49.5

10 Neoplasm of uncertain behavior D48.5 Lip vermillion border D37.01 Penis D40.8 Scrotum D40.8 Vulva D39.8

11 CRYOSURGERY Actinic Keratosis (L57.0) ONLY premalignant lesion st Lesion nd thru 14 X n or more CRYOTHERAPY

12 CRYOTHERAPY CO2, slush, liquid N2 for acne

13 17004 MODIFIER 59 EXEMPT

14 Benign lesion except skin tags Up to 14 lesions or more

15 Site Specific Destruction Destruction of premalignant lesion 10 Days Destruction of premalignant lesion add on (2-14) 10 Days Destruction of premalignant lesion more than Days Destruction of benign lesion Days Destruction of benign lesion more than Days Cryosurgery of anal lesion 10 Days Destruction of anal lesion, chemical 10 Days Cryosurgery of penis lesion 10 Days Destruction of penis lesion, chemical 10 Days Destruction of vulva lesion, any method including cryosurgery and laser 10 Days

16 ICD-10 CODES FOR HYPERHIDROSIS L Primary focal hyperhidrosis, axilla L Primary focal hyperhidrosis, face L Primary focal hyperhidrosis, palm L Primary focal hyperhidrosis, soles

17 NEW HYPERHIDROSIS CODES Chemodenervation of Eccrine glands; both axillae Chemodenervation of eccrine glands; other area(s) (e.g., scalp, face, neck), per day Chemodenervation of extremities (e.g., hands or feet) J0585 Botox A DO NOT USE COSMETIC BOTOX NDC#

18 17106 Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm to 50.0 sq cm Over 50 sq cm

19 Site Specific Destruction Destruction of premalignant lesion 10 Days Destruction of premalignant lesion add on (2-14) 10 Days Destruction of premalignant lesion more than Days Destruction of benign lesion Days Destruction of benign lesion more than Days Cryosurgery of anal lesion 10 Days Destruction of anal lesion, chemical 10 Days Cryosurgery of penis lesion 10 Days Destruction of penis lesion, chemical 10 Days Destruction of vulva lesion, any method including cryosurgery and laser 10 Days

20 CPT Codes Global Period Skin biopsy Days Mohs Days Intermediate Repairs Days Complex Repairs Days Flap Repairs Days Graft Repairs Days Destruction of premalignant lesions 17000, 17003, Days Destruction of malignant lesions Days Excision Days

21 MODIFIER 79

22 PDT Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa (eg, lip) by activation of photosensitive drug(s), each phototherapy exposure session

23 PDT J7345 Aminolevulinic acid HCL gel 10%, 10 mg J7308 Aminolevulinic acid HCL gel 20%, single unit dosage form (354 mg)

24 NEW CATEGORY III CODES 0470T 0471T Optical coherence tomography (OCT) for microstructural and morphological imaging of skin, image acquisition, interpretation, and report; first lesion Each additional lesion

25 NEW CATEGORY III CODES 0479T 0480T Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

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