Medical Coding

Category - 10,000 Series

A 12-year-old boy presents to his pediatrician’s office with multiple molluscumcontagiosum on his face, neck and upper right shoulder. They have been present for about 15 months and are getting larger. His parents are concerned about his appearance and that he keeps scratching them. He was treated once for a local infection on his neck, about three months ago. His parents would like to have these removed or be referred to dermatology. The pediatrician discusses options and the parents opt to use cryotherapy with Histofreeze that the pediatrician has in his office. In total, there are six lesions on his right shoulder, eight on his neck and five on his cheek. What CPT code would you use?
  1. 17111
  2. 17110
  3. 17000
  4. 17004
Explanation
Answer: A - 17111 is correct because he has a total of 19 lesions that were frozen in the pediatrician’s office. This code is for destruction of 15+ lesions.
Code 17110 is incorrect because this code is for up to 14 lesions such as warts, molluscum, or milia. Codes 17000 and 17004 are both incorrect because they are for actinic keratosis which is not what this little boy was being treated for.
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