Common CPT Codes For Cryosurgery

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Common CPT Codes For Cryosurgery

Type of Lesion

CPT Code

Private Insurance Reimbursements*

Medicare

50th Percentile

75th Percentile

90th Percentile

Reimbursements**

Benign Lesions

Age Spots Actinic Keratoses Seborreic Keratoses

17000 (1 Lesion)

Destruction of any 1 benign les.

17003 (2 - 14 Lesions)

Destruction of any 2 - 14 benign les.

17004 (15 + Lesions)

Destruction of 15 or more benign les.

$126 $19 $300

$158 $27 $381

$201 $40 $486

$64.92 - $87.66 $5.49 - $7.60

$150.91 - $204.60

Warts &

Molluscum

17110 (1 - 14 Lesions)

Destruction of flat warts, molluscum contagiosum, or milia - up to 14 les.

17111 (15 + Lesions)

Destruction of flat warts, molluscum, contagiosum, or milia - 15 or more les.

$190 $225

$241 $299

$310 $109.03 - $153.19 $375 $129.49 - $179.37

Skin Tags

11200 (1-15 Lesions)

Removal of skin tags - up to 15 les.

11201 (ea add. 10 Lesions)

Removal of skin tags - each additional 10 les.

$160 $45

$206 $61

$264

$88.22 - $119.31

$91

$19.19 - $23.89

Anal Lesions

46916 Simple

Destruction of lesion(s) anus (i.e. condyloma, papilloma, molluscum)

46924 Extensive

Destruction of lesion(s) anus

$440 $1,300

$576.61 $1,600

$770 $238.61 - $328.26 $2,192 $523.35 - $745.14

Penile Lesions

54056 Simple

Destruction of lesion(s) penis (i.e condyloma, papilloma, molluscum)

54065 Extensive

Destruction of lesion(s) penis

$293 $500

$380 $650

$500 $141.10 - $191.14 $820 $222.29 - $293.13

Vulva Lesions

56501 Simple

Destruction of lesion(s) vuvla

56515 Extensive

Destruction of lesion(s) vulva

$315 $600

$400 $670

$526 $967

$144.59 - $191.22 $237.69 - $305.31

Vaginal Lesions

57061 Simple

Destruction of lesion(s) vaginal

57065 Extensive

Destruction of lesion(s) vaginal

$313 $510

$400 $575

$600 $609

$123.88 - $164.79 $207.16 - $266.33

* Private Insurance Reimbursements represent a national average at the 50th percentile, 75th percentile, and 90th percentile for 2019. Reimbursements may be higher or lower depending on your private insurance carrier.

** Medicare Reimbursements represent the Mississippi Medicare Reimburstments (left) & California Medicare Reimbursments (right) for 2019.

5829 Old Harding Pike, Nashville, TN 37205 | 615.354.0414 |

? 2020 CryoSurgery, Inc.

Medicare Reimbursement

Type of Lesion

CPT Code

CA

TX

FL

NY

PA

IL

OH

GA

NC

Benign Lesions

Age Spots Actinic Keratoses Seborreic Keratoses

17000 (1 Les.) 17003 (2 - 14 Les.) 17004 (15 + Les.)

$88 $8 $205

Warts & Molluscum

17110 (1 - 14 Les.) $153 17111 (15 + Les.) $179

Skin Tags

11200 (1-15 Les.) $119 11201 (ea 10 Les.) $24

Anal

46916 Simple

$328

46924 Extensive $745

Penile

54056 Simple

$191

54065 Extensive $293

Vulva

56501 Simple

$191

56515 Extensive $305

Vaginal

57061 Simple

$165

57065 Extensive $266

$74 $7 $172

$125 $148

$100 $21

$272 $601

$160 $251

$163 $267

$140 $234

$79 $7 $185

$131 $157

$107 $24

$290 $634

$173 $273

$176 $294

$151 $259

$87 $8 $203

$147 $175

$118 $25

$321 $714

$190 $296

$192 $315

$165 $277

$78 $7 $182

$132 $156

$106 $23

$288 $638

$170 $266

$173 $283

$148 $248

$78 $7 $181

$130 $155

$105 $23

$285 $627

$169 $266

$172 $285

$148 $251

$69 $6 $161

$116 $138

$94 $21

$254 $556

$150 $237

$154 $254

$132 $222

$73 $6 $170

$123 $146

$99 $21

$269 $595

$159 $249

$162 $266

$139 $233

$69 $6 $160

$116 $137

$93 $20

$253 $557

$150 $235

$153 $251

$131 $219

Private Insurance Reimbursement

Type of Lesion

CPT Code

New York

75th

90th

Florida

75th

90th

Texas

75th

90th

Illinois

75th

90th

California

75th

90th

Benign Lesions

Age Spots Actinic Keratoses Seborreic Keratoses

17000 (1 Les.) 17003 (2 - 14 Les.) 17004 (15 + Les.)

$250 $57 $0

$340 $77 $0

$155 $35 $0

$163 $37 $0

$181 $41 $0

$243 $55 $0

$209 $47 $0

$269 $61 $0

$225 $51 $0

$228 $52 $0

Warts & Molluscum

17110 (1 - 14 Les.) $281 $383 $174 $183 $204 $274 $235 $302 $254 $256

17111 (15 + Les.) $0

$0

$0

$0

$0

$0

$0

$0

$0

$0

Skin Tags

11200 (1-15 Les.) $281 $369 $195 $204 $179 $224 $229 $307 $203 $242 11201 (ea 10 Les.) $104 $136 $72 $76 $66 $83 $85 $113 $75 $89

Anal

46916 Simple

$765 $818 $408 $451 $1802 $1811 $665 $667 $451 $765

46924 Extensive $2730 $2921 $1457 $1611 $6436 $6465 $2374 $2383 $1611 $2731

Penile

54056 Simple

$418 $537 $307 $358 $392 $490 $395 $514 $326 $490

54065 Extensive $1804 $2318 $1326 $1546 $1692 $2116 $1707 $2217 $1409 $2114

Vulva

56501 Simple

$578 $739 $825 $842 $340 $456 $506 $660 $332 $388

56515 Extensive $1971 $2519 $2813 $2872 $1154 $1555 $1726 $2251 $1131 $1321

Vaginal

57061 Simple

$1534 $1534 $712 $1046 $1016 $1116 $1023 $1646 $510 $632

57065 Extensive $3067 $3067 $1423 $2091 $2031 $2231 $2045 $3291 $1020 $1263

Due to a wide range of reimbursement schedules offered by private insurance companies, we recommend filing in the 90th percentile for claim reimbursements in order to receive the maximum reimbursement for your company.

For State Specific CPT Codes, Please Visit cryosurgery-cpt-codes

5829 Old Harding Pike, Nashville, TN 37205 | 615.354.0414 |

? 2020 CryoSurgery, Inc.

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