January 23, 2020

Question:
What CPT code should you report for laser removal of a keloid scar? What should be documented in the procedure note?

Answer:
You would report 17110. Documentation should always include:

Indications for procedures
Risks/Benefits
Document location of lesion/keloid destroyed
CM size of lesion before removal/destruction
Method of destruction
Detail of the procedure
Anesthesia/medications

*This response is based on the best information available as of 1/23/20.