tci General Surgery Coding Alert - 2007 Issue 7

Reader Questions: Avoid Same-Time Biopsy and Excision

Question: Can we report a biopsy and excision of the same lesion during the same session? North Dakota Subscriber Answer: Instructional notes added to CPT in 2004 clarify that you shouldn't report 11100 (Biopsy of skin, subcutaneous tissue and/or mucous membrane [including simple closure], unless otherwise listed; single lesion) and +11101 (... each separate/additional lesion [list separately in addition to code for primary procedure]) in addition to excision or other biopsy codes unless certain exceptions exist (as outlined below).Notes preceding CPT's -Biopsy- portion instruct:Report 11100 and 11101 only when the physician obtains a specimen. For example, the surgeon...

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