tci General Surgery Coding Alert - 2018 Issue 8

Clip and Save: Sacrifice Up To $97 per Lesion for 11100 Misuse

Look beyond integumentary codes. You learned in “Bungle Skin Biopsy Coding and Lose Pay” on page 57 that 11000 (Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion) isn’t the only code in town to report skin biopsies. In fact, if the surgeon takes the biopsy from a specific site listed elsewhere in CPT®, you should not use 11100 to report the procedure. Keep your surgery practice on track with the following list of codes that represent common biopsy sites your surgeon might encounter (values in brackets represent the 2018...

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