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Cryotherapy

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Linda:
Hello Ladies,

I work for an Internal Med practice.  What modifier is used when a wart or skin tag is removed, then additional warts ?  I use codes 17003 and 17110,  is it 59 or 25?

Michele:
Hi,
   The 25 modifier is for when you are billing for an E&M code (office visit, evaluation and management - 99201-99215) that is separate from another procedure being performed at the same visit.  The 59 modifier is to indicate a distinct procedural service.  If you are removing more than one skin tag or wart, the 59 modifier would be more appropriate.

Thanks
Michele

Linda:
Thank you - just wondering, how are you compensated for this service? 

Michele:
Hi,
   We don't get compensated directly for answering questions.  We wanted to create a friendly environment for people who all do the same thing to help each other out.  We are hoping that others will respond to people's questions if they have an answer so that we are not the only people answering questions.  We will moderate to make sure the answers are appropriate.  Also, we do offer some products and services.  In addition to being a billing service, we do credentialing/re-credentialing, NPI number applications, and other odd services.  We've written 6 ebooks about different aspects of medical billing, from Basics of Medical Billing to How To Complete a CMS Form Completely and Correctly, Line by Line, Box by Box.  We want people to spread the word about this forum so it can continue to grow, and we can all help each other out!

Good luck,
Michele

lpfamilyphys:
I am a little late to these postings, but I stumbled across them and couldn't help but wonder: don't codes 17110 and 17003 cover the removal of 1-14 or 15 tags/warts? Why would you use a modifier at all?

Maybe I misunderstood the question? :)
Thanks!

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