tci General Surgery Coding Alert - 2003 Issue 3

Cut Out the Confusion of Lesion Excisions

For 2003, CPT significantly revises its guidelines for reporting excision of benign (11400-11471) and malignant (11600-11646) lesions, and now specifies that physicians should include margins in addition to lesion diameter when choosing an appropriate code. For the greatest accuracy, physicians and coders must also consider the timing of measurements and excisions, and apply modifiers as necessary.How Do You Measure Up? Because 11400-11471 and 11600-11646 are "size-based" codes (for example, 11400, Excision, benign lesion including margins, except skin tag [unless listed elsewhere], trunk, arms or legs; excised diameter 0.5 cm or less; versus 11404 ... excised diameter 3.1...

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