Coding > Coding

54056 vs. 54065 for cryosurgery?

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lpfamilyphys:
I work in a family pratice and we do quite a few cryotherapys in our office.  My providers use 54056 all the time but when does 54065 used?  I looked up both codes and they are both for lesion(s) but 54065 is for extensive lesions.  How many are extensive?  If you could please let me know I would like to code at the best level.

Michele:
There is no description or number of lesions for what constitutes extensive.  That would be determined by the provider who is performing the service(s), or by a coder who has experience in reading the patient's chart/notes to determine what was done.  Sorry but there is no easy answer.  :/

lpfamilyphys:
Thank you for your reply.  My providers and I were hoping for an easy answer.  I will just instruct them to use their best judgement.  Everyone does understand that there needs to be enough evidence to support the 54065 or 56515. 

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