About this policy
Jurisdiction: J9 MAC Part B. States: Florida, Puerto Rico, US Virgin Islands. Type: Active LCD
Coverage indications
Covered Indications Destruction of malignant skin lesions The destruction of malignant skin lesions will be considered medically necessary in the following circumstances: When a pathology report confirms the diagnosis of a skin malignancy, and/or When the description of the lesion is consistent with that of a skin malignancy. Limitations As published in the CMS IOM Publication 100-08, Medicare Program Integrity Manual , Chapter 13, Section 13.5.4, an item or service may be covered by a contractor LCD if it is reasonable and necessary under the Social Security Act Section 1862 (a)(1)(A). Contractors shall determine and describe the circumstances under which the item or service is considered reasonable and necessary.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 17260 | CPT | Covered |
| 17261 | CPT | Covered |
| 17262 | CPT | Covered |
| 17263 | CPT | Covered |
| 17264 | CPT | Covered |
| 17266 | CPT | Covered |
| 17270 | CPT | Covered |
| 17271 | CPT | Covered |
| 17272 | CPT | Covered |
| 17273 | CPT | Covered |
| 17274 | CPT | Covered |
| 17276 | CPT | Covered |
| 17280 | CPT | Covered |
| 17281 | CPT | Covered |