We asked 100 people: name a popular film set on a deserted island. Name something a haunted house might do to stay in business after real ghosts show up all over new york. Name something pirates might miss out on, because of their occupation. Tell me something you might see on a trip to new york city. 1 - cheating 1 - copying 1 - plagiarizing 2 - bacteria 2 - bug 2 - contagium 2 - disease 2 - flu 2 - germs 2 - illness 2 - influenza 2 - microbes 2 - pathogens 2 - protozoa 2 - sickness 2 - viruses 3 - bad breath 3 - breath 3 - halitosis 3 - smelly breath 4 - not wanted 4 - unwanted 5 - sloppy 5 - spittle 5 - too wet 5 - wet Name a country that is famous for fine automobiles. Name something you always pack for a vacation. SINGLE-PLAYER -- Rookie - Win Fast Money in a Challenge Mode game playing alone.
Name something you own that might be particularly dirty by springtime. Name something kids might throw at each other. Typical responsibilities include attending sports games and practices, educating athletes on injuries and injury prevention, facilitating rehabilitation, conducting emergency care and on-field injury assessments, and administering medication. 1 - heart 1 - thumper 1 - ticker 1 - ventricle 2 - watch 2 - wristwatch 3 - bones 4 - bowls 4 - china 4 - dishes 4 - plates 4 - saucers 4 - washes 5 - analogue clock 5 - clock 5 - cuckoo clock 5 - grandfather clock Name a product that might be disposable. 1 - chain 1 - necklace 1 - pendant 1 - sautoir 2 - rings 3 - earrings 3 - studs 4 - brushes 4 - dentists 4 - dentures 4 - flosses 4 - incisors 4 - molars 4 - pearly whites 4 - teeth 4 - tooth 5 - trophy Name a president with a long last name. Name an unusual pet you would expect a Hollywood star to own. Name an excuse men use for not calling. Start by plugging in a second controllller and knocking out the "play 10 Party Mode games" achievement. 1 - alfredo 1 - ketchup 1 - marinara 1 - mayonnaise 1 - mustard 1 - salsa 1 - sauce 1 - tomato sauce 2 - cheese 2 - parmesan cheese 3 - meatballs 4 - garlic 5 - chanterelles 5 - mushrooms 5 - portobellos 5 - shiitake Name a city that has a lot of hotels. 1 - earbuds 1 - headphones 2 - ipod 2 - mp3 player 2 - player 3 - blue tooth 3 - cell phone 3 - mobile 3 - phone 3 - telephone 4 - conch 4 - seashell 4 - shells 5 - aid 5 - hearing aid Name a foreign language that every President should know.
1 - babe 2 - porky 3 - wilbur 4 - miss piggy 4 - piggy Name something you might see in a funeral home that you would not want to see in your own home. 1 - miami 2 - francisco 2 - frisco 2 - san francisco 3 - honolulu 4 - angeles 4 - la 4 - los angeles 5 - diego 5 - san diego 6 - big apple 6 - new york 7 - atlantic city 7 - city 8 - beantown 8 - boston Name a song by Madonna that everyone knows. Name a reason the ghostbusters might refuse to catch a ghost. Name something a ghost might spend their day doing. 1 - cedar 1 - elm 1 - fir 1 - maple 1 - pine 1 - tree 2 - footpath 2 - pavement 2 - sidewalk 2 - walkway 3 - memo 3 - note 4 - agreement 4 - contract 4 - writ 5 - blouse 5 - clothing 5 - coat 5 - dress 5 - fur 5 - garment 5 - jacket 5 - jeans 5 - pants 5 - shirt 5 - skirt 5 - slacks 5 - sock 5 - stockings 5 - suit 5 - textile 5 - trousers 6 - bath towels 6 - linens 6 - towels Name something a person might worry about when speaking in front of a large group. 1 - husband 1 - marriage 1 - nuptial 1 - spouse 1 - wedding 1 - wife 2 - abode 2 - apartment 2 - buying home 2 - condo 2 - flat 2 - getting home 2 - habitat 2 - home ownership 2 - ownership 2 - purchasing home 3 - career 3 - employment 3 - job 3 - occupation 3 - profession 3 - vocation 3 - work 4 - babies 4 - children 4 - daughters 4 - kids 4 - sons Name something people wear when going on a hike. At what age do kids stop making father's day gifts and start buying them? 1 - ape 1 - baboon 1 - chimp 1 - gorilla 1 - monkey 2 - canine 2 - cur 2 - dog 2 - mongrel 2 - mutt 2 - pit bull 2 - pooch 2 - puppy 2 - rottweiler 3 - ham 3 - hog 3 - pig 3 - sow 4 - hyena 5 - timberwolf 5 - wolf 6 - lion Name something you know about Alaska. Name a part of the body you might get a piercing. 1 - matches 2 - blades 2 - bowie knives 2 - butterfly knives 2 - daggers 2 - hunting knives 2 - knives 2 - machetes 2 - swiss army knives 2 - switch blades 3 - burning 3 - fire 3 - flames 3 - house fire 3 - on fire 4 - boiler 4 - furnace 4 - oven 4 - range 4 - stove 5 - electrical outlets 5 - outlets 5 - sockets 6 - dessert 6 - dinner 6 - food 6 - lunch 6 - meal 6 - supper 6 - their food Name a popular imported European car. Give me a first name you don't hear very often. 1 - lipstick 2 - enamel 2 - nail polish 2 - polish 2 - wax 3 - eye shadow 3 - eyeshadow 3 - mascara 4 - boots 4 - cross trainers 4 - flats 4 - heels 4 - high heels 4 - loafers 4 - pumps 4 - running shoes 4 - shoes 4 - sneakers 5 - boxer shorts 5 - hanes 5 - long underwear 5 - thermal underwear 5 - underwear Name a popular color for bedsheets.
1 - doorbell 1 - the door 2 - another line 2 - call waiting 2 - different line 2 - line 2 - other line 2 - second call 3 - departing 3 - going out 3 - heading out 3 - leaving 4 - baking 4 - cooking 4 - cuisine 4 - food preparation 4 - gastronomic 4 - making dinner 4 - preparing dinner 5 - company 5 - guests 5 - people over 5 - visitors Name an inventor kids learn about in school. Name a sport played with a ball. Name something you sleep with in order to feel safe. Name a symbol that people associate with Easter. Give me a specific nickname for a city in the US. 1 - pictionary 2 - pursuit 2 - trivial pursuit 3 - aces 3 - bridge 3 - cards 3 - cribbage 3 - euchre 3 - playing cards 3 - poker 3 - texas hold 'em 4 - charades 4 - dumb show 5 - scrabble Besides fish, name an animal people keep in an aquarium. What is something people might have trouble giving up for forty days?
Name a us state everyone wants to live in. Name Someone That Carries A Clipboard. I figured that other people could benefit from this version of the data, so with his/her permission, I have made this document public. Name something you should not wear while riding a motorcycle. Name something a hairdresser uses. 1 - arachnid 1 - spider 2 - cockroach 2 - cucaracha 2 - roach 3 - bee 3 - bumblebee 3 - hornet 3 - wasp 4 - mice 4 - rats 4 - rodents Name something you would need if you wanted to be a lawyer. Name a food that is often used as an endearing nickname. What country would you try to buy land in if you were rich? 1 - michelle obama 1 - obama 2 - angelina jolie 2 - jolie 3 - palin 3 - sarah palin 4 - diana 4 - peoples princess 4 - princess diana 4 - the peoples princess What female talk show host do you think is the most annoying to men?
1 - hard 2 - early mornings 3 - low income 4 - long hours 5 - dirty Name something people get turned down for. Tell me something people do with their old love letters. Name a tool that you might see in a garage and in a horror movie. Name A Way Of Holding Up Your Trousers. Name someone a bachelor might have to get christmas presents for. Name something a child might not want to do on Easter. Name a job that pays well. Name a type of professional that wears sunglasses a lot. 1 - blade 1 - cutlass 1 - dagger 1 - foil 1 - knife 1 - machete 1 - poignard 1 - rapier 1 - sabre 1 - scimitar 1 - sword 2 - facemask 2 - mask 3 - cape 4 - ball cap 4 - beanie 4 - black hat 4 - cap 4 - hat 4 - rain hat 4 - straw hat 4 - tilly 4 - tuque 4 - wool cap 5 - colt 5 - equine 5 - gelding 5 - horse 5 - mare 5 - mustang 5 - philly 5 - pinto 5 - pony 5 - stallion Name something you would see in a hospital emergency room. Name a job that Congress does.
Who is the ultimate Feuder? Name a christmas gift that might be even worse than coal. Name a way you might keep the sun out of your eyes. Name an animal that might eat out of your hand at a petting zoo. 1 - big 2 - small 3 - attractive 4 - sore 5 - ugly 6 - athletic 7 - normal Name a famous "Jerry. " Name a liquid that is put into cars. Name something a man might avoid revealing about himself while on a date. Name something you might take trick or treating with you. Name something a couple might argue about around the holidays. Name something that gets blocked easily. Name something a teenager might do when they have a crush.
Name something that increases the popularity of beach resorts. Name a prop you would expect to see on the set of a horror movie. 3 - academics 1 - basilica 1 - cathedral 1 - chapel 1 - church 1 - mass 1 - mosque 1 - synagogue 1 - temple 2 - court 2 - hearing 2 - law court 2 - trail 3 - classes 3 - college 3 - education 3 - high school 3 - school 3 - university 4 - cafeteria 4 - diner 4 - eatery 4 - restaurant Name a foreign country whose food Americans love to eat. 1 - calligraphy 1 - handwriting 1 - lettering 1 - penmanship 1 - script 2 - bad spelling 2 - spelling 3 - grammar 3 - locution 3 - syntax 3 - usage 4 - autograph 4 - signature 5 - eraser marks 5 - marks 5 - rubber marks Name something you would find in a hair salon. Tell me a form of transportation you wouldn't want to use in a rainstorm. 1 - marriage 1 - nuptials 1 - wedding 2 - diamond 3 - betrothal 3 - engagement 4 - earring 5 - class ring 5 - college ring 5 - graduation 5 - high school ring 5 - ring 5 - school ring 5 - university ring Name a job in a supermarket.
Wu J et al: An open-label, pilot study examining the efficacy of curettage followed by imiquimod. When the ob-gyn excises a lesion, he or she cuts it away from the surrounding tissue and sends it for pathological examination, says Mary Mulholland, RN, BSN, CPC, a reimbursement analyst for the office of clinical documentation at the University of Pennsylvania's department of medicine in Philadelphia. The treatment of contiguous structures in the same organ or anatomic region does not generally constitute treatment of different anatomic sites.
In addition 57150 involves the ob-gyn using a catheter or similar tube high in the vaginal canal to flush it with a medicated solution not the direct application to the affected area as with a chemical destruction. 17999 in category: Other Procedures on the Integumentary System. There are instances in which it is medically necessary to remove these benign lesions and the documentation must be very specific as to the accompanying symptoms. You could report the treatment as well as 99203 if the physician documents at least a detailed history detailed examination and medical decision-making of low complexity. CPT® Code 17110 in section: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions. Fader DJ, Johnson TM: Medical issues and emergencies in the dermatology office. The CPT code set accurately describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. Charges should be clearly stated and an ABN should be signed and retained in the patient's file with the appropriate modifiers used if the patient wishes for the claim to be filed. Drmikethecoder special: Have 5 dates of service audited for $250 (new clients only). Note: CPT 2003 revises the skin lesion codes (11420-11426) so they clearly describe a full-thickness removal of the lesion which includes the margins along with simple closure (if performed).
When another modifier is more appropriate (e. g. modifier 76, 77 or 91). Should not be used to bypass NCCI edits. 17004 Destruction, premalignant lesions, 15 or more lesions. Basal cell and squamous cell carcinomas are both coded in category C44. Medical Coding for Common Dermatological Conditions. ACC Curr J Rev 14:52-55, 2005. Excision codes are dependent on whether the lesion is benign or malignant. If a patient has more than two or three genital-area lesions you should use 56515. Typical treatment for Actinic Keratoses is destruction, usually cryotherapy. Med Rec 56:109, 1899. Code 11422 has a slightly higher relative value. 11101 each separate / additional lesion (List separately in addition to code for primary procedure). Control of smoke from laser/electric surgical procedures. Torre D: Cryosurgery of basal cell carcinoma.
Are you in compliance with Medicare concerning your billing, coding and documentation? Shave excisions are removals of lesions without taking the full thickness of the skin. The other one is 11300, which is shaving benign lesions: Is this appropriate for verruca? 0509T Electroretinography (ERG) with interpretation and report, pattern (PERG). Cryosurgery electrosurgery and chemosurgery are all forms of plants. Modifiers 59 or -XS are used appropriately for different anatomic sites during the same encounter only when procedures which are not ordinarily performed or encountered on the same day are performed on different organs, or different anatomic regions, or in limited situations on different, non-contiguous lesions in different anatomic regions of the same organ. Although the CPT system is mandated by the Centers for Medicare and Medicaid Services (CMS) and HIPAA, and the data for it appears in the Federal Register, the American Medical Association (AMA) maintains that their copyright of the CPT.
Radiology 70010-79999. I was discussing with my biller verruca follow-ups. CPT Codes - Medical Procedure Codes - 17 CodesCPT Procedure Codes ("17" Codes): - 17000 in category: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses). Some coders may attempt to search the destruction codes (17000-17004), but you must consider many factors to determine the appropriate code the lesion(s) location, the number of lesions and the destruction method. 17250 in category: Destruction Procedures on Benign or Premalignant Lesions of the Integumentary System. Please do not hesitate to ask any questions. Check the NCD / LCD for other instances that may warrant medically necessary removal of benign lesions. Cryosurgery electrosurgery and chemosurgery are all forms of drugs. All edits have an indicator of 1. Confirmation of malignancy may warrant Mohs micrographic surgery.
Medical Laboratory Tests. Consider Location, Number and Method for Destruction Several coding options exist for destruction of female genital lesions. Since many procedures can be considered cosmetic if not properly coded to show the medical necessity, billers and coders must pay careful attention to the documentation to avoid unnecessary denials or time-consuming appeals. Category II CPT Code(s) - Performance Measurement. Most of these are #15 blade debridements in the process of reducing the hyperkeratosis and verrucous tissue to allow topical medication to work. Also based on CPT's definitions if the ob-gyn destroys the lesion by applying trichloroacetic acid (TCA) you should use the above codes. This modifier was developed to provide greater reporting specificity in situations where modifier 59 was previously reported and may be used in lieu of modifier 59 whenever possible. If you are removing the hyperkeratotic, overlying tissue and are having the patient apply a topical medication at home and you are only evaluating the status of the lesion, 99212 would be the most appropriate CPT code to bill. During cryosurgery, the physician freezes the lesion off using liquid nitrogen or carbon dioxide. 3-cm vaginal wart for biopsy. CPT Code 67220 - Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions. THE 2022 Podiatry Coding Manual is now available in either Book or Flashdrive formats. Cryobiology 16:348-361, 1979.
This CPT code has a 10 day global period. 10 Most Commonly Performed Services. Br J Dermatol 75:137, 1963. Once the lesions are completely removed, a code of Z85. 15823;with excessive skin weighting down lid. CPT Code 11720 - Debridement of nail(s) by any method(s); one to five. Mikhail GR: The application of chemosurgery in cancer. Silverman MK et al: Recurrence rates of treated basal cell carcinomas.
1980;116(1):119. doi:10. If malignancy is found in any of the blocks, the surgeon goes back and removes another layer of tissue, divides it into one or more blocks, and repeats the process. You should code the procedure with 11422 ( lesion diameter 1. 11312 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. Whitehouse HH: Liquid air in dermatology: its indications and limitations. The condition presents as rough, sometimes red, scaly patches on the skin, usually where there has been the greatest exposure to damaging UV rays such as the face, scalp, neck, ears, forearms, and hands. Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-evaluation and management (E/M) services performed on the same day. Mazur P: Freezing of living cells: mechanisms and implications. If the procedures are performed on different sides of the body, modifiers RT and LT or another pair of anatomic modifiers should be used, not modifiers 59 or -XS. Chiarello SE: Cryopeeling (extensive cryosurgery) for treatment of actinic keratoses: an update and comparison. Part 3 takes into consideration, in detail, the management of skin cancer, including specific discussions of surgery, irradiation, electrosurgery, cryosurgery, chemosurgery (including fresh tissue technique), topical chemotherapy and chemotherapy given for systemic effect, and immunotherapy. CPT Index Entries (Reverse Index Lookup).
This article is only available in the PDF format. 13151 Repair, complex, eyelids, nose, ears and/or lips; 1.