Question: An established patient requested skin tag removal during another service. The dermatologist chemically burned off the tag.How should I report this?
New Jersey Subscriber
Answer: The insurer will probably not cover the destruction — and approximately $88 is at stake.
Best bet: Crank out your private payer version of an advance beneficiary notice (ABN), or have a cash policy. Often insurers will consider skin tag removal cosmetic and won’t cover the procedure.
When it comes to assigning a number, skin tag removal including destruction puts you back into the 11000 skin series, rather than the 17000 destruction family. The CPT® skin tag numbering system works this way.
Don’t miss: Link 701.9 (Unspecified hypertrophic and atrophic conditions of skin) to 11200.