PODIATRY medicare national average allowed …PODIATRY medicare national average allowed charges...

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PODIATRYmedicare national average allowed charges with possible ICD-9 codes-*2014

CPT CODE

1120 0 Remo val o f Sk i n Tags (up to & inc l ud ing 15 le si ons ) $96 .28

1120 1 Each add. te n l esi on s (i n add. to 1 1200 li s t separatel y ) $21 . 13

17 00 0 De str uct io n (eg , l aser sur gery , e lectr osurge ry , cr yosurger y $82. 19chemo surger y , surg ica l cur etteme nt) , pre mal ignant l es io n (eg , act in i c ker ato ses ) ; f ir st les io n

17 00 3 2nd- 14 th l es io ns; each ( l is t separatel y i n addit i on $10.96to co de f o r f ir s t le si on) use in co nj un ct io n with 170 00

17 00 4 De str uct io n (eg , l aser sur gery , e lectr osurge ry , cr yosurger y $163.20chemo surger y , surg ica l cur etteme nt) , pre mal ignant l es io n (eg , act in i c ker ato ses ) ; 15 or m or e l esi on sDo no t r epor t 17 004 in conj unct io n wi th 17 000 -17 00 3

17 106 De str uct io n o f cutaneo us vascul ar l esi ons : l ess than 10 sq . cm. $37 0.2 3

17 107 De str uct io n o f 10.0 -50.0 sq . cm . $47 9.03

17 108 De str uct io n o f o ver 50 .0 sq . cm. $697 .41

171 10 Destruct i on (e g , laser surger y , e le ctro sur gery , cryo sur gery $1 19 .3 7chem osur ge ry , surg i ca l cur ettem ent) , o f benign le si ons o ther thansk in tags o r cutan eous vascu lar les i ons ; up to 14 l esi ons

171 1 1 Destruct i on 15 o r m o re les io ns $141 .67

172 60 Destruct i on, mal ignant l es io n (eg , l aser sur gery , e lectr osurge ry , $102. 15cryo surger y , chem osurger y , surg i cal cur ettem ent) t r unk , arm s , l egs;l esi on d iam eter 0.5cm o r less (see co des 172 61 - 17 266)

172 61 Destruct i on: d iam eter 0 .6 to 1 .0cm $15 5.7 6

172 62 Destruct i on: d iam eter 1 . 1 to 2 .0cm $189.8 1

172 63 Destruct i on: d iam eter 2 . 1 to 3 .0cm $20 7.4 2

172 66 Destruct i on: d iam eter o ver 4 .0 cm $25 3.21

172 70 Destruct i on mal ignant l es io n, (eg , l aser sur gery , e lectr osurge ry , $163 .20cryo surger y , chem osurger y , surg i cal cur ettem ent) sca lp , neck , hands , f eet , geni ta li a ; l esi on d iam eter 0.5cm o r less

172 71 Destruct i on d iam eter 0.6 to 1 .0cm $17 7.68

172 72 Destruct i on d iam eter 1 . 1 to 2 .0cm $20 2.34

172 73 Destruct i on 2 . 1 to 3.0cm $226 .21

172 74 Destruct i on d iam eter 3 . 1 to 4 .0cm $267 .3 0

172 76 Destruct i on d iam eter o ver 4 .0cm $3 10.7 4

This information is provided to assist you in determining possible codes for procedures performed and are presented as examples only, asallowed charges will vary from state to state and carrier to carrier. Please check your current coding book for a more extensive list and forany coding changes.

Possible ICD-9 Procedural and Diagnostic codes are listed under each group of CPT Codes-these are presented as samples only. To ensureyou are ICD-10 prepared, you can visit the coder’s corner section on: www.icd10prepared.com

* Data derived from the Centers for Medicare and Medicaid Services. * CPT is a trademark of the American Medical Association.*2014 national averages/payment amounts were calulated using all modifiers and non-facility prices. Prices reflect data through 03.29.2014

Please visit: www.cms.gov/apps/physician-fee-schedule to obtain your state’s reimbursement fees.

CryoPen, Inc. • Technical Support: 1.877.246.3955 • ©copyright all rights reserved MM-061-R5 04.01.2014

ICD-9 CM Pro cedura l

86 .3 Other l oca l exc i si on or destr uct i on of

l esi on or t i ssue o f ski n and subcutaneo us

t is sue.

ICD-9 CM Diagno st ic

7 01 .9 U nspecif ied hypertr ophi c and

atro phic condi t io n o f sk i n .

7 57 .39 Other spe cif ied co ngent i a l an om aly

o f sk in .

ICD-9 CM Pro cedura l

86 .3 Other l oca l exc i si on or destr uct i on of

l esi on or t i ssue o f ski n and subcutaneo us

t is sue.

ICD-9 CM Diagno st ic

7 02.0 Act i n ic Kerato s is

ICD-9 CM Pro cedura l

86 .3 Other l oca l exc i si on or destr uct i on of

l esi on or t i ssue o f ski n and subcutaneo us

t is sue.

ICD-9 CM Diagno st ic

216 .7 Ben ign n eopl asm o f sk i n l ower l im b,

in c lud ing hip .

216 .8 Beni gn neo plasm of o ther specif ied

s ites o f sk i n .

228.0 1 Hem angio m a of sk in and subcuta-

neo us t is sue .

228.0 9 Hem angio m a of o ther s ites .

44 8. 1 N evus , no n-neo pl as t ic .

44 8.9 Other no n unspeci fi ed capil lar y d is -

eases .

7 09. 1 Vascu lar d isor der of sk in .

7 57 .32 Con gent ia l vascu l ar hamar tom as.

I CD-9 CM Pr ocedur al

8 6 .3 Other lo ca l e xc is io n o r destr uct io n o f

l es io n o r t is sue of sk in and subcutane ous

ICD-9 CM Di agnost i c

17 3 .7 Other mal ignant neopl asm o f sk in o f

lo wer l i mb, i nc lud i ng hi p

209.3 4 Merke l ce ll carc i nom a o f the l ower

li mb.

209.7 5 S eco ndar y M erkel cel l car c in om a

232.7 Car c ino ma i n s it u of sk in of l ower

li mb, i nc lud i ng hi p .

238 .2 N eo pl asm o f uncer ta in beh av i or o f

sk i n .

I CD-9 CM Pr ocedur al

8 6 .24 Ch emo sur ger y of sk in

8 6 .3 Other l oca l exc i si on or destr uct i on

o f le si on or t is sue o f sk i n and subcutaneo us

t i s sue

I CD-9 CM Di agnost ic

0 78 .0 M ol luscum con tagi osum

0 78 . 10 Vi ra l warts , unspeci fi ed

0 78 . 12 P lantar wart

0 78 . 19 Other speci fi ed v i ra l warts

216 .8 Ben ign n eopl asm o f other speci fi ed

s i tes of sk in .

7 06 .2 Se baceo us cys t