23.03.2013 Views

Name of Manual - Blue Cross and Blue Shield of Minnesota

Name of Manual - Blue Cross and Blue Shield of Minnesota

Name of Manual - Blue Cross and Blue Shield of Minnesota

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Coding Policies <strong>and</strong> Guidelines (Surgical Services)<br />

Implanted Supplies /<br />

Devices<br />

Supplies/devices implanted as part <strong>of</strong> the surgical procedure, are<br />

considered integral to the procedure <strong>and</strong> are generally not<br />

separately reimbursable.<br />

St<strong>and</strong>by Services All st<strong>and</strong>by services (code 99360), are not separately reimbursable.<br />

St<strong>and</strong>by is considered incidental regardless <strong>of</strong> what is or is not<br />

billed with that service.<br />

Treatment <strong>of</strong> Warts The treatment <strong>of</strong> warts (verrucae, papillomas) via surgical or laser<br />

excision is considered a variation <strong>of</strong> destruction <strong>of</strong> a benign lesion.<br />

Use the CPT procedure codes 17000-17004.<br />

Acne Treatment/Skin<br />

Rejuvenation <strong>and</strong><br />

Rosacea Treatment<br />

11-6<br />

A cluster <strong>of</strong> warts is considered a single destruction <strong>of</strong> warts <strong>and</strong><br />

should be submitted using one unit <strong>of</strong> service.<br />

Paring or curettement or shaving <strong>of</strong> warts with or without chemical<br />

cauterization should be coded using CPT procedure codes 11055-<br />

11057.<br />

Electrocauterization or ‘‘burning <strong>of</strong>f’’ <strong>of</strong> warts should be coded<br />

using CPT procedure code 17110. This procedure code includes up<br />

to 14 lesions. Fifteen or more lesions are coded as 17111. A cluster<br />

<strong>of</strong> warts is considered a single operative procedure <strong>and</strong> should be<br />

coded as such. Only one unit will be allowed for either code.<br />

<strong>Blue</strong> <strong>Cross</strong> does not recognize the use <strong>of</strong> CPT procedure codes<br />

11420-11446 for the treatment <strong>of</strong> warts. This range <strong>of</strong> codes is<br />

considered for other types <strong>of</strong> skin lesions, such as a keratosis, etc.<br />

The <strong>Blue</strong> <strong>Cross</strong> medical policy II-33, acne treatment/skin<br />

rejuvenation details the policy on these treatments.<br />

<strong>Blue</strong> <strong>Cross</strong> medical policy II-08, rosacea treatment details the<br />

policy on these treatments.<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (03/19/12)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!