Question

Dr. Burke, a urologist, performs a destruction of a penile lesion of a patient. Are all destruction codes the same? if not, state what the differences are based on.

Answer 1

Codes 54057 (Destruction of lesion[s], male genital organ [e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle], basic; laser medical procedure) and 54065 (Destruction of lesion[s], male genital organ [e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle],extensive [e.g., laser medical procedure, electrosurgery, cryosurgery, chemosurgery]) accurately distinguish the system you are attempting to code. Your decision of code relies upon whether the obliteration of the injuries would be named straightforward or complex.

For a straightforward sore pulverization, severe elucidation of 54057 shows that you should report the code once just, paying little mind to the quantity of sores the dermatologist evacuated. On the off chance that the dermatologist expelled an enormous number of injuries, nonetheless, you may group the strategy as broad. Your best alternative is to call your bearer and solicit it whether the number from injuries can assign a system as "broad," in which case 54065 would be the proper code.

For the above case, you would utilize 54065 as the correct code. Likewise grouping codes 17110 (Destruction [e.g., laser medical procedure, electrosurgery, cryosurgery, chemosurgery, careful curettement], of amiable sores other than skin labels or cutaneous vascular proliferative injuries; up to 14 sores) to 17111 (... at least 15 injuries) for comparable sores found in the genital territory outside of the region of the male genital organ.