tci General Surgery Coding Alert - 2008 Issue 7

Reader Questions: Excision Includes Same-Site Biopsy -- Usually

Question: My I report a biopsy code in addition to an excision at the same location? Or is the biopsy included? New York Subscriber Answer: In most cases, you would not report a biopsy (e.g., 11100, Biopsy of skin, subcutaneous tissue and/or mucous membrane [including simple closure], unless otherwise listed; single lesion) at the same time as a more extensive procedure (such as excision, destruction or removal) at the same location. A follow-up biopsy is an integral component of an excision, for example, and necessary to identify the type of lesion (benign, malignant, etc.) for appropriate CPT...

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