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 Codes | Description of services |
11102 | Tangential biopsy of skin; single lesion |
11103 | Tangential biopsy of skin; each separate/additional lesion |
11104 | Punch biopsy of skin; single lesion |
11105 | Punch biopsy of skin; each separate/additional lesion |
11106 | Incisional biopsy of skin; single lesion |
11107 | Incisional biopsy of skin; each separate/additional lesion |
40490 | Biopsy of lip |
69100 | Biopsy 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 Codes | Description of services |
17000 | Destruction of premalignant lesions (eg, actinic keratoses); first lesion |
17003 | Destruction of premalignant lesions (eg, actinic keratoses); 2 – 14 lesions |
17110 | Destruction 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 Codes | Description of services |
17311 | Mohs micrographic technique on head, neck, hands, feet; first stage |
17312 | Mohs micrographic technique on head, neck, hands, feet; each additional stage |
17313 | Mohs micrographic technique on trunk, arms, and legs; first stage |
17314 | Mohs 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 Codes | Description of services |
11403 | Excision, benign lesion including margins; trunk, arms, or legs |
11603 | Excision, 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 Codes | Description of services |
12031 & 12032 | Repair; intermediate; wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet) |
13120 & 13121 | Repair; 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 Codes | Description of services |
88305 | Level IV – surgical pathology, gross & microscopic exam |
88304 | Level III – surgical pathology, gross & microscopic exam |
88312 | Special stain including interpretation and report |
88341 | Immunohistochemistry 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 Codes | Description of services |
99203 | Office or other outpatient visit for evaluation and management of new patient, detailed |
99213 | Office or other outpatient visit for evaluation and management of new patient, expanded |
99214 | Office 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 Codes | Description of services |
96900 | Actinotherapy (ultraviolet light) |
96910 | Photochemotherapy; tar and ultraviolet B or petrolatum and ultraviolet B |
96567 | Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions |
J7308 | Aminolevulinic 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 Codes | Description of services |
96920 & 96921 | Laser treatment for inflammatory skin disease |
Radiation Oncology
Radiation therapy is a type of cancer treatment that uses radiation energy to kill cancer cells. The beam aims directly at the cancer while protecting healthy tissue.
Procedure Codes | Description of services |
77261-77263 | Radiology treatment planning |
77280-77290 | Simulation |
77330 | Basic radiation dosimetry calculation |
77336 | Continuing medical physics (Billed once per week) |
77332-77334 | Treatment devices (Each device billed separately) |
G6012 | Daily radiation treatment |
77427 | Radiation Treatment Management (Billed every 5 treatments) |
Vein Treatment
Procedure Codes | Description of services |
36475 | RFA Initial |
36476 | RFA Subsequent |
36478 | EVLA initial |
36479 | EVLA Subsequent |
36465 | Varithena Initial |
36466 | Varithena Subsequent |
36482 | Venaseal Single |
36483 | Venaseal Multiple |
37765 | Stab Phlebectomy Initial |
37766 | Stab Phlebectomy Subsequent |
76942 | Ultrasound Guided |
36471 | Ultrasound Sclerotherapy |
93971 | Extremity Study |