07/28/2025    

CODING & BILLING Q&As FROM THE DOCTORLINE.COM

Query: Eccrine Disorder

 

What is the recommended treatment code for L74.8 (eccrine disorder) with debridement of the lesion. My first impression would be callus debridement (1105-7), but it is not really a callus. The treatment is not destruction of a benign lesion.

 

Jeff Leibovitz, DPM, Indianapolis, IN

 

Response from thedoctorline.com: Let's start with the definition of CPT 11055-11057, defined as Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus);11055= single lesion, 11056= 2-4 and 11057=5 or more. You are correct; you stated it is not a callus so it would not be appropriate. You biopsied the growth and determined it was a "L74.8 Other eccrine sweat disorders" or was it a "L85.8 Porokeratosis, acquired" or was it a "D23.7- Porokeratosis (other benign tumor)" 

 

We often find the incorrect diagnosis is assigned to the abnormal skin growths and it is important to know that is the correct diagnosis as to what you are treating. Using the correct terminology is key. If you are removing tissue, 

 

Editor's note: Dr. Freedman's extended-length response can be read here.

 

Additional coding and billing questions and responses can be found at thedoctorline.com