CPT^® 11402, Under Excision-Benign Lesions Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11402 as maintained by American Medical Association, is a medical procedural code under the range - Excision-Benign Lesions Procedures on the Skin.

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Summary

The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.

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MODIFIERS
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Excision mass in office vs OR

I have been thought previously, (example) when an excision of RT shoulder mass comes back from pathology as lipoma to bill 23075, and if it's cyst or lesion to bill 11402. Now when I change the code f... [ Read More ]

Need help with the excision coding

[QUOTE="csperoni, post: 484872, member: 164618"] #3 is worded that I would interpret as add all the sizes, and use 1 code. The lesion excisions are not added together. They are coded individually. [... [ Read More ]

Lesion removals

[QUOTE="mwells2020, post: 481213, member: 664391"] I have 5-11402's that I need to bill out but it exceeds the MUE limit. We have tried to bill it a couple different ways and it keeps paying incorrec... [ Read More ]

Lesion removals

I have 5-11402's that I need to bill out but it exceeds the MUE limit. We have tried to bill it a couple different ways and it keeps paying incorrectly. I also have 12-11403's that are doing the sa... [ Read More ]

modifiers to use

This shouldn't be complicated but I've overthought it. thanks 3/19 17110 hand 3/24 11403 upper back 11402 lower back... [ Read More ]

adding modifiers on ASC claim

Where would you apply modifiers to these codes in the ASC setting? Only the 13132 paid. This is an Aetna claim. The denial does state the codes denied for the charges included in the contracted and/or... [ Read More ]

multiple procedures-ASC coding question ambulatory modifiers asc dermatology

I&D suture granuloma

Hello jhorton86, I don't think CPT 27301 is the correct code as it is for I&D of deep abscess, bursa or hematoma and this is appears to be a cyst excision. Since within the documentation it does not ... [ Read More ]

Lesion excision vs. Skin Tag CPT codes

I'm second guessing myself on this one. The provider excised a lesion and sent it for pathology. Pathology diagnosis is skin tag. The provider is wanting CPT 11402 (benign lesion excision) to be bi... [ Read More ]

ASC fee schedules updates ambulatory surgery asc fee schedule

I've pulled the Addendum for Final ASC Covered Surgical Procedures for CY2019. 14301 is not listed. Does that mean they've deleted and don't consider that a procedure that is covered in ASC setting? I... [ Read More ]

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