Medical Coding Exam Prep

Category - Medicine

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A patient has a malignant lesion on his face with adjacent mucosa (lip) involvement. He is set to undergo photodynamic therapy by external application of light to destroy this malignancy. What is the correct code for this procedure?

96567
96570
96571
96900

Explanation

Answer: A - 96567 is the correct code for each phototherapy exposure session for external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa.
Codes 96570 and 96571 are both add-on codes for photodynamic therapy using endoscopic application of light. Code 96900 is incorrect because this is the code for actinotherapy.

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