March 16, 2023
What is the correct CPT code or CPT code range for skin screening exam for lesions suspicious of skin cancer?
It would NOT be appropriate for a dermatologist to report a code from the Preventive Medicine range (CPT 99381-99397) because a dermatologist is a specialist. If a patient comes in for a “routine” skin check, this should be coded with a problem-oriented E/M code (99202-99215). Also keep in mind most payors only cover a preventive visit one time per calendar year which is typically performed by the patient’s primary care practitioner.
*This response is based on the best information available as of 03/16/23.