|
Cryo Surgery Billing Codes:
|
Benign Lesions |
Fees
50% 80% |
Medicare
Limit Charge |
Medicare
Participating
Physician |
Medicaid |
| 17000 (one lesion) |
$59
$86 |
$57.59 |
$52.72 |
$41.59 |
| 17003 (2-14
lesions each) |
$21$30 |
$9.65 |
$8.83 |
$10.91 |
| 17004 (15 or more
lesions) |
|
$187.80 |
$171.89 |
$143.62 |
|
Warts and
Molluscum |
|
|
|
|
| 17110 (1-14
lesions) |
$61
$88 |
$82.50 |
$75.52 |
$33.39 |
| 17111 (15 or more
lesions) |
|
$94.30 |
$86.32
|
$47.17 |
|
Skin Tags
|
|
|
|
|
| 11200 (1-15)
|
$148 $170 |
$66.96 |
$61.29 |
$38.11 |
| 11201 (ea
additional 10) |
$86
$99 |
$16.85 |
$15.42 |
$14.51 |
|
Lesions on the
Anus, Penis and Vulva |
|
|
|
| 46916 (lesion(s)
anus, simple, cryosurgery) |
$215 $262 |
$178.91 |
$163.76 |
$85.34 |
| 46924 (lesion(s)
anus, extensive any method) |
$717
$872 |
$403.20 |
$369.06 |
$165.72 |
| 54056 (lesion(s)
penis, simple, cryosurgery) |
$135 $168 |
$134.04 |
$122.69 |
$62.13 |
| 54065 (lesion(s)
penis, extensive) |
$582 $724 |
$154.07 |
$141.02 |
$154.66 |
| 56501 (lesion(s)
vulva, simple) |
$202 $253 |
$124.33 |
$113.80 |
$71.19 |
| 56515 (lesion(s)
vulva, extensive) |
$689
$864 |
$197.52 |
$180.80 |
$133.93 |
The code 17340 is used for
therapeutic uses of cryogens for acne, where the destruction of
lesion is not necessarily the intent of the physician. Reimbursement
using this code can vary significantly. Do not use this code for the
destruction of lesions you will be treating with Verruca-Freeze™.
|
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