CPT code 17108 is for the destruction of skin lesions. It helps healthcare providers document and bill for this specific medical procedure.
CPT code 17108 is used to describe the medical procedure for the destruction of skin lesions. This code is specifically applied when a healthcare provider removes multiple skin lesions using methods such as laser surgery, electrosurgery, cryosurgery, or other techniques. The purpose of this procedure is to treat or remove abnormal skin growths that may be benign, premalignant, or malignant.
When using CPT code 17108 for the destruction of skin lesions, several modifiers may be applicable depending on the specific circumstances of the procedure. Below is a list of potential modifiers and the reasons for their use:
1. Modifier 25 - Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service
- Use this modifier if a significant, separately identifiable evaluation and management (E/M) service is performed by the same physician on the same day as the procedure.
2. Modifier 50 - Bilateral Procedure
- Use this modifier if the procedure is performed on both sides of the body.
3. Modifier 51 - Multiple Procedures
- Use this modifier if multiple procedures are performed during the same session.
4. Modifier 59 - Distinct Procedural Service
- Use this modifier to indicate that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
- Use this modifier if the same procedure is repeated by the same physician on the same day.
6. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional
- Use this modifier if the same procedure is repeated by a different physician on the same day.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
- Use this modifier if the patient returns to the operating room for a related procedure during the postoperative period.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Use this modifier if an unrelated procedure is performed by the same physician during the postoperative period.
9. Modifier 90 - Reference (Outside) Laboratory
- Use this modifier if laboratory procedures are performed by a party other than the treating or reporting physician.
10. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test
- Use this modifier if the same laboratory test is repeated on the same day to obtain subsequent (multiple) test results.
11. Modifier 95 - Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System
- Use this modifier if the service is provided via telemedicine.
12. Modifier XE - Separate Encounter
- Use this modifier to indicate that a service is distinct because it occurred during a separate encounter.
13. Modifier XS - Separate Structure
- Use this modifier to indicate that a service is distinct because it was performed on a separate organ/structure.
14. Modifier XP - Separate Practitioner
- Use this modifier to indicate that a service is distinct because it was performed by a different practitioner.
15. Modifier XU - Unusual Non-Overlapping Service
- Use this modifier to indicate that a service is distinct because it does not overlap usual components of the main service.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 17108 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides the payment rates for services covered by Medicare, and it is updated annually to reflect changes in policy and reimbursement rates.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in determining the local coverage and payment policies for CPT code 17108. MACs may have specific guidelines and requirements that healthcare providers must follow to ensure proper reimbursement.
Therefore, it is advisable to consult both the MPFS and the relevant MAC for the most accurate and up-to-date information regarding the reimbursement of CPT code 17108.
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