AMA CPT® Assistant - 2013 Issue 5 (May)
Medicine: Special Dermatological Procedures (Q&A) (May 2013)
May 2013 page 12a Medicine: Special Dermatological Procedures Question: Would it be appropriate to report CPT code96920, Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm, for a ProFractional-XCâ„¢ treatment (laser) for an inflammatory scar status post left lower lid and medical canthus facial reconstruction of an extensive Mohs defect; typically 3 laser sessions are involved? Answer: No. Codes 96920-96922 should not be used for treatment of inflammatory diseases other than psoriasis. Performance of this service for other diseases may be appropriately reported with the unlisted code 96999, Unlisted special dermatological service or procedure...
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Article Overview
This short Q&A article discusses CPT guidance for special dermatological procedures in a laser-treatment context. It is aimed at coders, billers, and dermatology practices reviewing how to categorize a service under CPT and when an unlisted dermatologic procedure code may be considered. The article provides a single coding question, a general answer, and a short note about related code-family applicability.
Why This Topic Matters
Dermatology and laser-procedure coding can be highly specific, and incorrect code-family selection can affect claim accuracy and compliance. This article helps readers quickly determine whether the topic is relevant to special dermatological procedure coding guidance.
What You Will Learn
- The scope of a CPT Q&A on special dermatological procedures
- How the article frames coding of a laser-treatment scenario
- When the discussion turns to unlisted dermatologic procedure reporting
- The general topic area covered by the coding guidance
Who Should Read This
- Medical coders
- Dermatology billing staff
- Physician practices
- Compliance staff
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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