Wiki Enlarging skin lesion/cyst diagnosis

PMiklavcic

Contributor
Messages
15
Best answers
0
What 2ndary code on the LCD covers "enlarging?"

Our provider excised a sebaceous cyst that was growing, no other complications. Medicare requires a 2nd dx to justify the reason for removal. "Enlarging" is listed on the indications for removal, I just can't pair up an appropriate dx that is covered from the LCD. I originally used L98.9 (Disorder of the skin and subcutaneous tissue, unspecified) but the scrubber kicked it back stating this dx was not on the LCD list. I have exhausted all efforts, HELP!!!

Thank you!!
 
Sebaceous Cyst code

we use L72.3 for Seb Cyst it gets covered no issues (we are in PA) however on occasion certain insurances will ask for the medical notes to determine medical necessity vs cosmetic. But no issues with it being paid that way. Good luck
 
Top