Medical Billing Forum
Coding => Coding => : lpfamilyphys April 10, 2012, 04:51:31 PM
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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.
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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. :/
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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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I would say 15 or more is extensive
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