Aug 15, 2011 · Based on CPT's definitions, if the ob-gyn destroys the lesion (for eg, by applying trichloroacetic acid (TCA) you should use the specific system codes-57501-56515, 57061—57065. Report both the destruction or excision of the lesion and an E/M visit for a new or established patient (99201-99215) if an E/M service is separate and significant ...

Dec 1, 2002 · Also based on CPT's definitions if the ob-gyn destroys the lesion by applying trichloroacetic acid (TCA) you should use the above codes. The lesions' number and size define the difference between "simple" and "extensive." As a rule of thumb you should consider more than a few lesions as an "extensive" destruction Mulholland says.

You might also be tempted to report 17360 (Chemical exfoliation for acne [e.g., acne paste, acid]), but this would be incorrect coding for AK treatment, warns Pamela Biffle, CPC, CPC-P, CPC-I, CCS-P, CHCC, CHCO, owner of PB Healthcare Consulting and Education Inc. in Austin, Texas. You should also avoid the more general codes 17000-17004

May 3, 2005 · Trichloroacetic acid (TCA) is a caustic substance that ob-gyns use to destroy lesions and is more appropriately defined as "chemocautery" rather than "chemosurgery" (one of examples listed for destruction of lesions).

dermis with the use of a "wounding" agent, such as phenol or trichloroacetic acid (TCA). Although chemical peels are commonly used to treat photoaged skin, (e.g., correcting pigmentation abnormalities, solar elastosis, and wrinkles), physicians can also use peels to treat multiple actinic keratoses when treatment of individual lesions is not ...

Nov 21, 2013 · In the past, 50% TCA was a common chemical agent for medium-depth peels, but its use has decreased due to a high rate of complications such as pigmentary changes and scarring. Currently, the most frequently used agent is a combination of 35% TCA with Jessner's solution or 70% glycolic acid. Phenol 88% alone is also used for medium-depth peels.

of glycolic acid, 10% to 20% trichloroacetic acid (TCA), Jessner solution (a mixture of resorcinol, salicylic acid, lactic acid, and ethanol), tretinoin, and salicylic acid. As part of the treatment process, superficial peels generally cause mild erythema and desquamation, and healing time ranges from 1 to 4 days, depending on the

Mar 12, 2012 · Certain chemicals may be applied to smaller warts on moist areas. The most common chemical used is called TRICHLOROACETIC ACID (TCA). TCA is a clear, watery liquid that is painted on the warts. It causes a burning sensation as it dries. The warts will turn a whitish color, shrink and disappear.

Mar 28, 2011 · We use TCA which is trichloracetic acid to treat veneral warts of the vulva and vagina. Melanie advised through this forum in 2007 the appropriate coding was an evaluation and management code. I too agree that when using a topical chemo agent the correct code are the 56501-56515- or 57061-57065 depending on genital site.

Nov 26, 2014 · Wiki trichloroacetic acid 80 ON WART, 17110. Thread starter JesseL; Start date Nov 26, 2014; Create Wiki J ...