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Click here for more sample CPC practice exam questions and answers with full rationale

coding papular lesion of tongue scissor excision & biopsy

Hello! I’m a new coder in my first year working for a family physician who regularly performs lesion removals. This is the first time I’ve coded a lesion on the tongue, which falls into the Digestive not the Integumentary section of the CPT.

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

Medical Billing and Coding Forum

CPT code for laser destruction tongue lesions

Our physicians perform destruction of tongue leukoplakia, via C02 ablation. They do this frequently. I have in the past read conflicting forums, some saying code 17000, because even though the code is in the integumentary section of the CPT book, in the code description itself , it does not specify skin, just destruction any method. I have also seen forums stating to use unlisted procedure code 41599. I need some guidance because 41599 is not a payable code, even on appeal with documentation. thanks

Medical Billing and Coding Forum

CPT for destruction of tongue lesion

Dermatologist destructed a lesion on a patient’s tongue. He is documenting the lesion as a papilloma destructed by electrofulguration. – what CPT code would I use to report this destruction — 41599 Unlisted procedure, tongue, floor of mouth? This is the first time I’ve encountered this area specific destruction and I am unfamiliar with what code I should use. Thanks.

Medical Billing and Coding Forum