tci Part B Insider - 2015 Issue 36

Reader Question: Differentiate Biopsy From Other Services

Question: Our physician routinely performs biopsies along with other procedures. How do I know when to report skin biopsy separately with, or in place of, other procedures such as shaving or excision? Supercoder.com Subscriber Answer: In general, you may report skin biopsy (11100-11101, Biopsy of skin, subcutaneous tissue and/or mucous membrane [including simple closure], unless otherwise listed ...) separately when the biopsy occurs at a separate location from an excision or when the results of the biopsy prompt the more extensive removal by excision or other method. For instance, if your physician excises a lesion on the patient&rsquo...

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