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What to do when the pathology doesn’t correlate to the service provided. The rules for cutaneous (skin) excision coding are straightforward: When the pathology for a lesion is benign, code for excision of benign lesion, 11400-11446; and when the pathology for a lesion is malignant, code for excision of malignant lesion, 11600-11646. But in the […]
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How to bundle cam and pincer lesions when coding.
The post Check Bundles When Coding Cam/Pincer Lesion Encounters appeared first on AAPC Knowledge Center.
Thanks,
Teri
To select an appropriate code for excision of a benign (11400-11471) or malignant (11600-11646) skin lesion, you must determine the lesion’s diameter at its widest point, and add double the width of the narrowest margin (the portion of healthy tissue around the lesion also excised). In the interest of both clinical and coding accuracy, providers should […]
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The lesion was then prepped with chlorhexidine, and anesthetized with buffered 1 % lidocaine with epinephrine, followed by electrodesiccation and curettage 3 times, achieving 4 mm margins, giving total treatment diameter of 3.3 cm.
I know margins are included per the excision codes (114xx, 116xx) but I have never heard of anyone billing a margin for a destruction (same as a wart)
Is "total treatment area" justifiable as a lesion size or is it only appropriate to bill for the actual size of the lesion only? I’m getting push back from the provider but compliance agrees with us.
CPT assist also states lesion size only and no margins.
Anyone else have any thoughts or solutions
Thanks!
Documentation shows a scissor removal of 3mm papular lesion of the tongue (anterior 2/3) and base electrodessication. Pathology reports it as an Irritation Fibroma (which I’m ICD-10 coding as D10.1).
My search through the CPT Index leads me to:
41100 Biopsy of tongue; anterior two-thirds.
41110 Excision of lesion of tongue without closure.
Can any one tell me if I’m on the right track with these codes?
Many thanks!
Cheryl
Lesion excision coding may seem complex, but reporting excision of benign (11400-11471) and malignant (11600-11646) skin lesions can be mastered in five steps. Step 1: Measure First, Cut Second When assigning CPT® codes 11400-11646, you must know both the size of the lesion(s) excised and the width of the margins (the area surrounding the lesion […]
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11440? 67700-52? 67800?
It’s not specified as a chalazion, but do these fit the same type of thing?