CPT^® 11104, Under Biopsy Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11104 as maintained by American Medical Association, is a medical procedural code under the range - Biopsy Procedures on the Skin.

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Summary

The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.

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Diagnosis R21 with 11104.

[QUOTE="oswaldo.zambrana@integramdp.com, post: 514519, member: 732689"] Hello use D48.5 for 11104. [/QUOTE] [B]ABSOLUTELY DO NOT DO THIS![/B] You cannot use an "uncertain behavior" diagnosis withou... [ Read More ]

Diagnosis R21 with 11104.

May I ask if anyone has issues with reimbursement when you report 11104 and attach R21 (rash)? Via the EMR our provider reports Biopsy-Punch R/O: Tinea Versicolor vs Hailey hailey. This would be befo... [ Read More ]

Biopsy Coding: Incisional vs. Punch vs. Shave cpt11102 cpt11104 cpt11106 dermatology incisional biopsy punch biopsy shave biopsy skin biopsy

Hello! I would like to kindly inquire regarding the proper coding for biopsy, especially if there is more than one type of biopsy done during a patient's single visit. The scenario will be as follows... [ Read More ]

Abdominal fat-pad biopsy

[QUOTE="cwatkins505, post: 492909, member: 576344"] I am newer to coding general surgery and was wondering if someone could give me direction on the proper way to code this.. here is the op note: Diag... [ Read More ]

Mohs and 88331 performed on same DOS

[QUOTE="thomas7331, post: 490905, member: 5404"] The provider is billing correctly if the 88331 was done prior to the Mohs surgery, but a modifier is needed to prevent the code from denying. There i... [ Read More ]

Mohs and 88331 performed on same DOS

The provider is billing correctly if the 88331 was done prior to the Mohs surgery, but a modifier is needed to prevent the code from denying. There is guidance on this in the CPT book in the sectio... [ Read More ]

punch biopsy 11104 & 11105 or BX of lip 40490 x2

11104 & 11105 is correct. Code 40490 is used when the physician needs to use a blade to cut the mass and excise part of it for biopsy.... [ Read More ]

punch biopsy 11104 & 11105 or BX of lip 40490 x2

located on the right upper and lower lip mass. Plan: Counseling - Benign neoplasm lip. Please refer to the education handout for detailed counseling. Plan: Biopsy by Punch Method. Accession Number: . ... [ Read More ]

Frozen Sections w/Mohs

This question is directly addressed in the CPT book at the beginning of the Mohs code section: [I]If a biopsy of a suspected skin cancer is performed on the same day as Mohs surgery because there was... [ Read More ]

Mohs

Per CPT, you can bill these on the same lesion if there was no prior pathology - see the instructional note at the beginning of the Mohs section: [I]If a biopsy of a suspected skin cancer is performe... [ Read More ]

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