How many lesions can be reported with the add-on code 11201?

The add-on code 11201 is specific to the removal of additional skin tags beyond a certain limit. According to the coding guidelines, 11201 is applicable for the removal of lesions when the number of lesions exceeds the threshold established for the primary procedure, which typically reports the first few lesions. In this case, 11201 allows for the reporting of each additional group of 10 lesions. This adheres to the coding structure that allows providers to accurately report and receive reimbursement for the varying intensities of procedures based on the number of lesions addressed during the visit.

Understanding this coding structure is essential as it reflects not only the complexity and effort involved in patient care but also ensures appropriate reflection of services rendered in billing practices. Therefore, knowledge of proper coding conventions, especially regarding add-on codes, ensures compliance and maximizes reimbursement potential while maintaining accurate patient records.