tci General Surgery Coding Alert - 2004 Issue 12

Reader Question: Why Excisions Don't Add Up

Question: Would you please explain adding excision sizes together? If the physician excises a lesion (malignant or not), should I add the sizes together? Maryland Subscriber Answer: You should never add lesion excisions together. You should code excisions (11400-11646) according to the specific site, times the number of excisions the physician performed. For example, you would report 11400 (Excision, benign lesion including margins, except skin tag [unless listed elsewhere], trunk, arms or legs; excised diameter 0.5 cm or less) on the CMS-1500 if the physician removed four lesions. You may be thinking of repairs, in which case you...

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