ICD-10 REQUIRED
Documentation for
Specificity
Lesion Removal
THE ICD-10 DOCUMENTER SERIEs
Lesions that are not normally approved for reimbursement may be ap-
proved if one or more items are document in the medical record:
1. The lesion has bleeding, intense itching or pain, inflammation, obstructs or orifice or obstructs
vision.
2. If it’s an anatomical region subject to recurrent physical trauma and documentation that such
trauma has occurred.
3. Periocular (eye) warts with chronic conjunctivitis secondary to the virus.
4. Warts showing evidence of spread from one body area to anther (particularly in immunosup-
pressed patients).
5. Cervical dysplasia or pregnancy associated with genital warts.
CPT Code
11200 Removal of Skin Tags (up to & including 15 lesions)
11201 Each add. ten lesions (in add. To 11200 list separately)
ICD-9 701.9, 757.39
ICD-10 L909, L91.9 Q81.9, Q82.8
17000 Destruction (eg. Laser surgery, electrosurgery, cryosurgery
chemosurgery, surgical curettement), premalignant lesion
(eg. Actinic keratosis); first lesion
17003 2nd—14th lesions; each (list separately in addition to code
for first lesion) use in conjunction with 17000
17004 Destruction (eg. Laser surgery, electrosurgery, cryosurgery
chemosurgery, surgical curettement), premalignant lesion
(eg. Actinic keratosis); 15 or more lesions
Do NOT report 17004 in conjunction with 17000-17003
ICD-9 702.0
ICD-10 L57.0
17110 Destruction (eg. Laser surgery, electrosurgery, cryosurgery
chemosurgery, surgical curettement), of benign lesion other
than skin tags or cutaneous vascular lesions; up to 14 lesions
17111 Destruction 15 or more lesions
ICD-9 078.0, 078.10, 078.12, 078.19, 216.8, 706.2
ICD-10 B08.1 B07.9 B07.0 B 07.8 D22.9, D23.9 L72.3
172060 Destruction, malignant lesion (eg. Laser surgery, electrosurgey,
cryosurgery, chemosurgery, surgical curettement) trunk, arms,
legs; lesion diameter 0.5cm or less (see codes 17261-17266)
17270 Destruction malignant lesion, (eg. Laser surgery, electrosurgery,
cryosurgery, chemosurgery, surgical curettement) scalp, neck,
hands, feet, genitalia; lesion diameter 05.cm or less
ICD-9 173.7 209.34 208.75 232.7 238.2
ICD-10 NA C4A.70 C7B.1 D04.70 D48.5
