My provider has documented that she did a punch biopsy with a layered (intermediate) closure. The CPT book states that simple closures are included in a punch biopsy but I have not been able to find any information on if intermediate or complex closures are separately billable with a punch or incisional biopsy. I am saying yes, they are but my manager is saying she doesn’t think they are separately billable. Does anyone have any information on this?

Thanks!