Forum - Questions & Answers

May 11th, 2012 - rhorton4 22 

most appropriate code for surgical excision of condylomas on penis

I coded 54060 and doc wants 11424.
Brief discription, gentleman who comes in with multiple condylomas at the base of the penis around the suprapubic area as well as multiple condylomas on the shaft of the penis and a patch of condyloma near the glans of the penis. I coded 54060- (Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision).But doc thinks it should be 11424 - (excision, benign lesion….3.1 to 4.0 cm), this is his reasoning,

This was a group of very large genital warts. This is why I went with the size CPT®. However, if the more appropriate code is 54060, please let me know. I know most of those CPT® codes are for office treatment of condylomas and this patient's resection had to be done in the operating room because of size.

Can anyone help with this I do not want to give wrong info back to doc

Thanks

May 11th, 2012 - nmaguire   2,606 

re: most appropriate code for surgical excision of condylomas on penis

54060 (excision) looks to be the correct code. So, the technique determines the code. You are correct

May 11th, 2012 - rhorton4 22 

re: most appropriate code for surgical excision of condylomas on penis

Thank you for your help.



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