Was looking into that, would that be something applied regularly per office visit or does the patient apply at home? And if applied per office visit, would that fall under the same billing as 11710?
No, patient does at home BID (minimally QD, cover with duct tape after application).
As an office procedure or in an operating room?
How do you bill this?
He did it in the OR, not sure on the billing
I've always wondered about people going to the O.R. for warts. In residency laser treatment was common. I would be highly unlikely to offer anything in the O.R. to my private insurance patients because it takes what normally costs somewhere around $300-$500 and turns it into a $5000-$8000 affair. As a patient I would be FREAKING PISSED paying that bill and finding out that my neighbor got their warts treated with something simple for a few hundy.
If they add the podophyllin then it will dry out in a few weeks. When it does, you can add a little acetone (nail polish remover) to reconstitute it and make it usable again.
I do this in office. Works really well. It’s, per my billing department, an uncovered procedure. Patients pay cash.
I would not have thought to do that - thanks.
Not sure if this was derogatory or complimentary. I can tell you that Alan Ng is the real deal and an incredible surgeon.
I'll let you know how many death threats I get in a couple weeks when I do it.
Well, if she's asking for it then I guess you should give the lady what she wants. You're not in charge of her finances, haha.
scalpel plus Cantharone, just like a wart.
This....I just tell them chance of a cure is less than 50 percent, but often takes longer to come back
Scalpel and soak it warm water Epsom salts for 2 weeks so it "doesn't clog back up" Maybe 5 percent recurrence in a year? Multiple Recurrent in 1 year and I use cantharone and treat like a water. I used to be in a MAC that paid 11055 with pain code. Now I am not. So will probably switch to 17110 and cantharone from the start....or at least for second time.
with what ICD-10 affixed to it?
The tricky thing is the 17110 code is basically associated with the verruca plantaris ICD-10 so if you list something else ie. porokeratosis its entirely possible that either (a) the payment is entirely denied (b) or the patient eats the entire fee schedule cost.
when you punch biopsy them they come back as plantar warts. At least the ones I've sent came back that way.
T-F-P..... T - F - P!
D23.71/72. Don't call ExperienceDPM on me.
He only cares if you unbundle the wart.
Or spot-weld it
Phew.
Have only taken minors who can't sit still/ serious anxiety or those with so many warts - short of lighting the entire bottom of their foot on fire- we take them to OR.
For those kids I’ve prescribed 5-F/U.
"In my hands"..... debridement works long term. I am willing to believe not clogged sweat glands. I have done and promise to do ZERO research into what these are. I will keep up with my spiel and "treatment algorithm," I have less than 5 percent of people come back for these...and I will just be happy with the office visit on the first visit since I won't see them back. I miss my old MAC and paid callus debridement.
They went down the street to the DPM with a Swift machine!
Or to a super mustache pod w/ his whirlpool bath 🥸
If by down the street you meant drive 1.5 to 2.5 hours to see another podiatrist for a little baby waby bump on der wittle footsie wootsie.....then no. I think think this was actually a big benefit of being so rural, no place else for people to go. I saw my complications and failed results. No wound care center to pawn people off on. No other doc you could send to for a second opinion. My way or the highway. Sometimes I miss those days...
Do you have Tracy V on speed dial? Or any sweet consulting gigs? Are you interested in any? Are you a member of the Council of Plantar Warts?
What is CPT and how many RVUs is all I need to know
Thnx!!!
I don't know RVU business but for us PP pods, this is a profitable endeavor. My office charges like $700 for this in office procedure that takes me <30 minutes including setup, preop/postop discussion, injection, and procedure. It is very low risk, works well and these are generally people that have had warts for years and failed all other tx. Also helps that most of the patients have come in from derm with a referral and already know to expect out of pocket expense.
Also, asking for a friend*, is there a scalpel involved? He is a surgeon after all and surgeons use scalpels.
How do you do that?
🤢🤮
Is it $700/visit or $700 for the full course of treatment? Do the 10x pts end up paying $7k?
