When reporting excision of skin lesions (11400-11646), in addition to other procedures at the same anatomic location during the same session, be on the lookout for the following bundling issues. Do not report in addition to lesion excision: Local anesthesia. Simple closures (12001-12018)
tick bite. a puncture wound produced by the toothed beak of a blood-sucking tick, a small, tough-skinned arachnid. Ticks transmit several diseases to humans, and a few species carry a neurotoxin in their saliva that may cause ascending paralysis beginning in the legs.
The usual incubation time between tick bite and symptom onset is 5-10 days. Only about half of patients recall a preceding tick bite. Initial symptoms of Rocky Mountain spotted fever are usually non-specific, consisting of fever, severe headache, myalgias, nausea and loss of appetite. Many patients will present to physicians before the hallmark rash develops, which complicates diagnosis and increases the diseaseâs potential deadliness.