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ED Coding and Reimbursement Alert

Reader Question:

Can You Code a Biopsy and I&D Together?

Published on Tue Oct 10, 2006

Question: A patient reported to the ED with a cyst on her left eyelid. Our physician performed an incision and drainage (I&D) and biopsied the lesion. How should I code this scenario? Can I report the biopsy separately?


Oregon Subscriber


Answer: You should report a single CPT code for the I&D and the biopsy. On the claim,

- report 67700 (Blepharotomy, drainage of abscess, eyelid)

-  attach 374.84 (Cysts of eyelids) to 67700 to represent the patient's cyst.
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