CPT code 17107 is for the destruction of skin lesions, a procedure used to remove abnormal skin growths through various methods.
CPT code 17107 is used to describe the medical procedure for the destruction of skin lesions. This code specifically refers to the treatment of benign (non-cancerous) skin growths or abnormalities using methods such as laser surgery, electrosurgery, cryosurgery (freezing), or chemical treatment. The goal of this procedure is to remove or destroy the unwanted skin lesions to improve the patient's skin health and appearance.
For CPT code 17107, which pertains to the destruction of skin lesions, the following modifiers may be applicable:
1. Modifier 25: Significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified healthcare professional on the same day of the procedure or other service. Use this modifier if an E/M service was provided in addition to the destruction of skin lesions.
2. Modifier 50: Bilateral procedure. Use this modifier if the destruction of skin lesions was performed on both sides of the body.
3. Modifier 51: Multiple procedures. Use this modifier if multiple procedures, including the destruction of skin lesions, were performed during the same session.
4. Modifier 59: Distinct procedural service. Use this modifier to indicate that the destruction of skin lesions was a distinct service from other procedures performed on the same day.
5. Modifier 76: Repeat procedure or service by the same physician or other qualified healthcare professional. Use this modifier if the destruction of skin lesions was repeated on the same day by the same provider.
6. Modifier 77: Repeat procedure by another physician or other qualified healthcare professional. Use this modifier if the destruction of skin lesions was repeated on the same day by a different provider.
7. Modifier 78: Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period. Use this modifier if the destruction of skin lesions required an unplanned return to the procedure room.
8. Modifier 79: Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period. Use this modifier if the destruction of skin lesions was unrelated to a previous procedure performed during the postoperative period.
9. Modifier LT: Left side. Use this modifier if the destruction of skin lesions was performed on the left side of the body.
10. Modifier RT: Right side. Use this modifier if the destruction of skin lesions was performed on the right side of the body.
11. Modifier GA: Waiver of liability statement issued as required by payer policy, individual case. Use this modifier if an Advance Beneficiary Notice (ABN) was issued for the destruction of skin lesions.
12. Modifier GX: Notice of liability issued, voluntary under payer policy. Use this modifier if a voluntary ABN was issued for the destruction of skin lesions.
13. Modifier GY: Item or service statutorily excluded, does not meet the definition of any Medicare benefit. Use this modifier if the destruction of skin lesions is not covered by Medicare.
14. Modifier GZ: Item or service expected to be denied as not reasonable and necessary. Use this modifier if the destruction of skin lesions is expected to be denied by Medicare as not reasonable and necessary.
These modifiers help provide additional information about the circumstances under which the destruction of skin lesions was performed, ensuring accurate billing and reimbursement.
The CPT code 17107 is reimbursed by Medicare, but it is essential to verify the specifics through the Medicare Physician Fee Schedule (MPFS) and the local Medicare Administrative Contractor (MAC). The MPFS provides detailed information on the reimbursement rates for various CPT codes, including 17107, and the MAC can offer additional guidance on any regional variations or specific billing requirements. Always ensure to check the latest updates from both the MPFS and your MAC to confirm the current reimbursement status and any applicable conditions.
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