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Issue Number - Name
0121-Excessive Units of Destruction of Premailignant Lesions
Review Type
Automated
Claim Type
Physician/Non-Physician Practitioner
Region and State
RAC 1-4
All A/B MACs
Date Approved
12/11/2018

Description

Based on CPT Code descriptions, CPT code 17000 may only be billed once per date of service; CPT code 17003 may only be billed thirteen times per date of service and CPT code 17004 may only be billed once per date of service. CPT codes 17000, 17003, and 17004 are overpayments, if billed in excess of units described above and will be recovered.

Affected Codes

CPT Code 17000, 17003, 17004 

Applicable Policy References

Social Security Act: Section 1833(e)

American Medical Association (AMA), Current Procedural Terminology (CPT) 2015–current