Wiki 54056 cryo simple vs 54065 extensive?

[Brandy0618]

Can anyone help answer what constitutes simple vs extensive between these 2 codes? I have researched and researched and receive many different answers. Our provider removed 8 papules from the penis via cryosurgery. When queried he questions what constitutes simple vs extensive? Thank you.

 

[nickelclaw]

here is the description from Coder's desk reference for procedures for 54065
54065

The physician destroys extensive lesions of the penis using one or more of several methods. Extensive destruction generally means the procedure took more time or was more difficult than usual due to such factors as the size and number of lesions involved. The methods used by the physician include local application of a chemical, freezing, electrodesiccation, laser vaporization to kill the diseased tissue, or excision. Local anesthesia may be used for these procedures. The physician applies the method only to the specific lesions.