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
ICD 10 Codes L82.1 Seborrheic Keratosis L82.0 Irritated Seborrheic Keratosis
ICD 10 Codes L40.0 Psoriasis L40.59 Psoriatic Arthritis Biologics
CONTACT DERMATITIS Dx Code L23 CPT Code 95044 x Units 95044 59 x 99 Units 95044 59 x 1 Unit DO NOT 95044 x 100 Units 95044-59 x 50 Units 95044 59 x 50 Units Will pay only 10 units Denial as duplicate claim
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
11100: Skin biopsy site 1 11101: Skin biopsy site 2 through n in units 69100: Ear 67810: Eyelid 40490: Lip 11755: Nail 54100: Penis 56605: Vulva
Rash, unknown R21
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
Neoplasm of uncertain behavior D48.5 Lip vermillion border D37.01 Penis D40.8 Scrotum D40.8 Vulva D39.8
CRYOSURGERY Actinic Keratosis (L57.0) ONLY premalignant lesion 17000 1 st Lesion 17003 2 nd thru 14 X n 17004 15 or more CRYOTHERAPY
CRYOTHERAPY 17340 CO2, slush, liquid N2 for acne
17004 MODIFIER 59 EXEMPT
Benign lesion except skin tags 17110 Up to 14 lesions 17111 15 or more
Site Specific Destruction 17000 Destruction of premalignant lesion 10 Days 17003 Destruction of premalignant lesion add on (2-14) 10 Days 17004 Destruction of premalignant lesion more than 15 10 Days 17110 Destruction of benign lesion 1-14 10 Days 17111 Destruction of benign lesion more than 15 10 Days 46916 Cryosurgery of anal lesion 10 Days 46900 Destruction of anal lesion, chemical 10 Days 54056 Cryosurgery of penis lesion 10 Days 54050 Destruction of penis lesion, chemical 10 Days 56501 Destruction of vulva lesion, any method including cryosurgery and laser 10 Days
ICD-10 CODES FOR HYPERHIDROSIS L74.510 Primary focal hyperhidrosis, axilla L74.511 Primary focal hyperhidrosis, face L74.512 Primary focal hyperhidrosis, palm L74.513 Primary focal hyperhidrosis, soles
NEW HYPERHIDROSIS CODES 64650 64653 Chemodenervation of Eccrine glands; both axillae Chemodenervation of eccrine glands; other area(s) (e.g., scalp, face, neck), per day 64999 Chemodenervation of extremities (e.g., hands or feet) J0585 Botox A DO NOT USE COSMETIC BOTOX NDC#
17106 Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm 17107 10.0 to 50.0 sq cm 17108 Over 50 sq cm
Site Specific Destruction 17000 Destruction of premalignant lesion 10 Days 17003 Destruction of premalignant lesion add on (2-14) 10 Days 17004 Destruction of premalignant lesion more than 15 10 Days 17110 Destruction of benign lesion 1-14 10 Days 17111 Destruction of benign lesion more than 15 10 Days 46916 Cryosurgery of anal lesion 10 Days 46900 Destruction of anal lesion, chemical 10 Days 54056 Cryosurgery of penis lesion 10 Days 54050 Destruction of penis lesion, chemical 10 Days 56501 Destruction of vulva lesion, any method including cryosurgery and laser 10 Days
CPT Codes Global Period Skin biopsy 11100-11101 0 Days Mohs 17311-17315 0 Days Intermediate Repairs 12031-12057 10 Days Complex Repairs 13100-13300 10 Days Flap Repairs 14000-14350 90 Days Graft Repairs 15000-15401 90 Days Destruction of premalignant lesions 17000, 17003, 17004 10 Days Destruction of malignant lesions 17260-17256 10 Days Excision 11600-11646 10 Days
MODIFIER 79
PDT 96574 96573 96567 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
PDT J7345 Aminolevulinic acid HCL gel 10%, 10 mg J7308 Aminolevulinic acid HCL gel 20%, single unit dosage form (354 mg)
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
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)