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  #1  
Old 10-07-2010, 12:50 PM
mrolf mrolf is offline
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Default how do code a shave biopsy??

Our physician did a shave biopsy of a 1 x 2 cm scalp lesion and then cauterized the lesion and sent for pathology.
Can't find a CPT code that includes both the shave biopsy & cauterization. Code 11100 states shave biopsy but with a simple closure not cauterization. Please advise. Thanks.
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Old 10-07-2010, 01:15 PM
eadun2000 eadun2000 is offline
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11100 is for like a punch biopsy. A shave biopsy uses 113xx codes. Please see the following to directly answer your question. The physician removes a single, elevated epidermal or dermal lesion from the scalp, neck, hands, feet, or genitalia by shave excision. Local anesthesia is injected beneath the lesion. A scalpel blade is placed against the skin adjacent to the lesion and the physician uses a horizontal slicing motion to excise the lesion from its base. The wound does not require suturing and bleeding is controlled by chemical or electrical cauterization. Report 11305 for a lesion diameter 0.5 cm or less; 11306 for 0.6 cm to 1 cm; 11307 for 1.1 cm to 2 cm; and 11308 for lesions greater than 2 cm.
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Old 10-08-2010, 11:27 AM
mrolf mrolf is offline
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Default Shave biopsy

The physician is not doing a shave EXCISION. He is just taking a portion for biopsy by shaving off a portion of the lesion. Are we still correct in using the shave excision then.
Please advise. Thanks.
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Old 10-08-2010, 11:37 AM
eadun2000 eadun2000 is offline
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Yes, that is why I was explaining you use the 1130X codes.
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Old 02-05-2013, 02:52 PM
ferryflyer ferryflyer is offline
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was this ever resolved? i understand that a biopsy is taking part of the lesion no matter how it is removed. When removing the complete lesion then it is coded as a removal - correct?
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