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CPT® 11107, Under Biopsy Procedures on the Skin

The Current Procedural Terminology (CPT®) code 11107 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 an additional or separate skin lesion after the first using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions. Report +11107 for each additional/separate lesion in addition to primary code 11106.

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Have a question about CPT Code 11107 ? Start a discussion here
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 ]
11102 & 17110 for same lesion?
[QUOTE="KimberlySherman, post: 505386, member: 102900"] Only the lesion destruction 17110 may be coded. The [U]NCCI Policy Manual[/U] states that a biopsy at the time of a more extensive procedure may... [ Read More ]
11102 & 17110 for same lesion?
Only the lesion destruction 17110 may be coded. The [U]NCCI Policy Manual[/U] states that a biopsy at the time of a more extensive procedure may not be coded for the same lesion (with one exception, w... [ Read More ]
Mohs and 88331 performed on same DOS
[QUOTE="sinman0531, post: 490909, member: 605607"] Yeah, even with modifiers we have never been paid on an 88331 performed by the same surgeon on the same day as a Mohs. Even with notes, they always s... [ Read More ]
Standard deviation
I am trying to obtain the CMS medians (average numerical score) and standard deviations (+/- 1 SD, +/-1.5 SD, +/- 2 SD) for the following codes: E/M codes (99201 -99205, 99211 – 99215), Bx codes old... [ Read More ]
Is pathology needed for biopsies?
[QUOTE="CatchTheWind, post: 391594, member: 245466"] No, you don't need path. Most dermatologists use D48.5 (neoplasm of uncertain behavior) as the diagnosis, although theoretically the more correct ... [ Read More ]
what modifier do I use?
When I run CCI edits on codes 11106 and 11102, there is an NCCI edit, and you are not allowed to apply a modifier to bypass the edit. The reason for this is because the CPT guidelines state not to rep... [ Read More ]
11102
[QUOTE="CodingKing, post: 454921, member: 323638"] Under the new biopsy codes eff 1/1/19 (11102-11107) you need to bill the most intensive code and then each additional lesion biopsied is reported und... [ Read More ]
11102
Under the new biopsy codes eff 1/1/19 (11102-11107) you need to bill the most intensive code and then each additional lesion biopsied is reported under add on codes Pick one primary code from 11102, ... [ Read More ]
Shave biopsy help PLEASE!
[QUOTE="TLC, post: 449496, member: 10795"]A patient came in and had three seperate lesions removed by shaving full thickness. All on the back two the same size and one larger. The provider coded as 11... [ Read More ]
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    Latest News

    When Billing for Biopsy Services, Do This, Not That
    MAC clarifies billing and coding policy for CPT codes 1110211107. Six new CPT codes in the 111xx range were added in 2019 to describe tangential punch and incisional biopsy techniques. Since then Firs... [ Read More ]
    Any Way You Spin It, CPT® 2019 will Surprise You
    Nearly every section in the code book has updates The stakes are high that your coding is affected. CPT 2019 includes 212 new Category I and III codes 50 revised code descriptors and 71 deleted codes ... [ Read More ]
    View All News