COMMON SKIN PROCEDURE CODES 2014 INCISION & DRAINAGE 10060 – Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single 10061 – Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple Complicated usually involves packing the wound. 10120 – Incision and removal of foreign body, subcutaneous tissues; simple Simple incision in the skin overlying the foreign body. Foreign body is retrieved using hemostats or forceps. Skin may be sutured or allowed to heal secondarily. 10160 – Puncture aspiration of abscess, hematoma, bulla, or cyst PARING OR CUTTING 11055 – Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion 11056 – 2 to 4 lesions 11057 – more than 4 lesions 11056 and 11057 are not add-on codes. They stand alone. Ex. Three calluses are pared = 11056 Paring codes are not usually billed with the destruction of benign lesion (17110) code, as it is considered to be included in that code. BIOPSY (zero global follow-up days) 11100 – Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion +11101 – each separate/additional lesion Certain anatomical areas have a specific biopsy code: Ex. bx of external ear 69100, bx of lip 40490 SKIN TAGS (removal by scissoring or any sharp method, ligature strangulation, chemical destruction) 11200 – Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions +11201 – each additional 10 lesions, or part thereof. DIAGNOSIS – 701.9 (Unspecified hypertrophic and atrophic conditions of skin – skin tag) SHAVE REMOVAL (sharp removal by transverse incision or horizontal slicing, w/o full-thickness dermal excision) 11300-11313 – Shaving of epidermal or dermal lesion, single lesion Codes are determined by body area and lesion diameter. EXCISION (full-thickness (through the dermis) removal of a lesion. Includes simple closure when performed.) 11400-11446 – Excision, benign lesion including margins, except skin tag Codes are determined by body area and lesion diameter 11600-11646 – Excision, malignant lesion including margins Codes are determined by body area and lesion diameter Sara L. 05/05/14 COMMON SKIN PROCEDURE CODES 2014 INJECTION 11900 – Injection, intralesional; up to and including 7 lesions For steroid injections into keloid scars DESTRUCTION (ablation of benign, premalignant, or malignant tissues by any method, with or w/o curettement. Includes electrosurgery, cryosurgery, laser, or chemical treatment.) 17000 – Destruction of premalignant lesions (eg, actinic keratoses); first lesion +17003 – Second through 14 lesions, each List 17003 for each lesion after the first. Ex. Four actinic keratoses were destroyed: 17000, 17003, 17003, 17003 17004 – 15 or more lesions 17004 is a stand alone code. Do not use with 17000, +17003 DIAGNOSIS – 702.0 (actinic keratosis) 17110 – Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions. For wart destructions or destruction of benign lesions 17260-17286 – Destruction of malignant lesion Codes determined by body area and lesion diameter Sara L. 05/05/14