In a case involving eccrine poroma treated with surgical excision and related services, which code set would be appropriate to report the diagnosis and procedures together?

In a case involving eccrine poroma treated with surgical excision and related services, which code set would be appropriate to report the diagnosis and procedures together?

• A. D23.60, 99202, 28090
• B. D23.60, 99202, 28090, 28122
• C. D23.60, 99212, 28090, 28122
• D. D23.60, 99202, 28122, 28090

Answer: (B)

When coding a visit that includes diagnosing a benign skin neoplasm and performing surgical excisions, you report the diagnosis with an ICD-10-CM code and list every procedure performed with its CPT code, along with an appropriate evaluation and management code for the encounter. Eccrine poroma is a benign skin neoplasm, so the diagnosis code is D23.60. If the patient is new to the practice, use the new-patient evaluation and management code 99202 (established patient would be 99212). Since two separate excisions were performed in the same encounter, both CPT codes for lesion excision are reported, 28090 and 28122. Including all of these reflects the complete set of services provided: the diagnosis, the initial/new-patient visit, and the two excision procedures. Omitting one of the excision codes or using the wrong E/M level would underreport or misstate the services rendered.

When coding a visit that includes diagnosing a benign skin neoplasm and performing surgical excisions, you report the diagnosis with an ICD-10-CM code and list every procedure performed with its CPT code, along with an appropriate evaluation and management code for the encounter. Eccrine poroma is a benign skin neoplasm, so the diagnosis code is D23.60. If the patient is new to the practice, use the new-patient evaluation and management code 99202 (established patient would be 99212). Since two separate excisions were performed in the same encounter, both CPT codes for lesion excision are reported, 28090 and 28122. Including all of these reflects the complete set of services provided: the diagnosis, the initial/new-patient visit, and the two excision procedures. Omitting one of the excision codes or using the wrong E/M level would underreport or misstate the services rendered.