Commonly Used Procedure Codes

Below are some of the most common types of procedures performed by our providers, along with the most frequently billed procedure codes and their descriptions. On the billing statements you receive from Riverchase Dermatology, you will only see the description of service and not the procedure codes, but your insurance company may reference them. If you have any questions or concerns regarding your statement, please contact our Patient Accounts team at 1-800-591-3376 and select option 2.

Biopsies

A skin biopsy removes cells or skin samples from the surface of the body. The sample taken from a skin biopsy is examined to provide information about your medical condition. A doctor uses a skin biopsy to diagnose or rule out certain skin conditions and diseases.

Procedure CodesDescription of services
11102Tangential biopsy of skin; single lesion
11103Tangential biopsy of skin; each separate/additional lesion
11104Punch biopsy of skin; single lesion
11105Punch biopsy of skin; each separate/additional lesion
11106Incisional biopsy of skin; single lesion
11107Incisional biopsy of skin; each separate/additional lesion
40490Biopsy of lip
69100Biopsy of external ear

 

Destruction of Lesions

Destruction of lesions is the ablation of benign, premalignant, or malignant tissues by any method of destruction (electrosurgery, cryosurgery, laser, or chemical treatment). If multiple lesions are removed, multiple procedure codes may be used.

Procedure CodesDescription of services
17000Destruction of premalignant lesions (eg, actinic keratoses); first lesion
17003Destruction of premalignant lesions (eg, actinic keratoses); 2 – 14 lesions
17110Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions

 

Mohs Surgery

Mohs micrographic surgery is a technique for the removal of skin cancer. It is usually done in stages. The surgery involves the removal of tumor tissue, then maps and divides the tumor specimen into pieces for pathologic examination to determine the depth and extent of the cancer.

Procedure CodesDescription of services
17311Mohs micrographic technique on head, neck, hands, feet; first stage
17312Mohs micrographic technique on head, neck, hands, feet; each additional stage
17313Mohs micrographic technique on trunk, arms, and legs; first stage
17314Mohs micrographic technique on trunk, arms, and legs; each additional stage

 

Excisions

Excision of lesions involves the surgical removal of the lesion, along with some of the tissue surrounding the lesion.

Procedure CodesDescription of services
11403Excision, benign lesion including margins; trunk, arms, or legs
11603Excision, malignant lesion including margins; trunk, arms, or legs;

 

Repairs

Repairs, or wound closures, are classified as simple, intermediate, or complex depending on the severity of the wound or opening. Repair is generally performed utilizing sutures, staples, and/or tissue adhesives.

Procedure CodesDescription of services
12031 & 12032Repair; intermediate; wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet)
13120 & 13121Repair; complex; scalp, arm, and/or legs

 

Pathology

Dermapathologists study skin and tissue at the microscopic cellular level. They utilize specialized laboratory equipment and tests to diagnose and manage various skin conditions.

Procedure CodesDescription of services
88305Level IV – surgical pathology, gross & microscopic exam
88304Level III – surgical pathology, gross & microscopic exam
88312Special stain including interpretation and report
88341Immunohistochemistry or immunocytochemistry

 

Evaluation and Management

Evaluation and management codes are divided into broad categories such as office visits, hospital visits, and consultations. They are further divided by levels of service, ranging from 1 to 5. These codes may be billed in conjunction with other procedures performed during your visit.

Procedure CodesDescription of services
99203Office or other outpatient visit for evaluation and management of new patient, detailed
99213Office or other outpatient visit for evaluation and management of new patient, expanded
99214Office or other outpatient visit for evaluation and management of new patient, detailed

 

Phototherapy

Phototherapy uses UV light to treat skin conditions such as eczema, psoriasis, pruritis, and vitiligo. It is administered in a variety of different ways, including full length body lamps, small light boxes, and hand-held devices.

Procedure CodesDescription of services
96900Actinotherapy (ultraviolet light)
96910Photochemotherapy; tar and ultraviolet B or petrolatum and ultraviolet B
96567Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions
J7308Aminolevulinic acid HCL for topical administration

 

Laser Treatment

Laser therapy treats a variety of skin conditions and can be used for cosmetic purposes as well. Laser treatment is administered by a variety of different means using different wavelengths of lasers to target certain skin cells.

Procedure CodesDescription of services
96920 & 96921Laser treatment for inflammatory skin disease