CPT^® 11646, Under Excision-Malignant Lesions Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11646 as maintained by American Medical Association, is a medical procedural code under the range - Excision-Malignant Lesions Procedures on the Skin.

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Summary

The provider excises a cancerous (malignant) lesion, including margins, over 4.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.

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MODIFIERS
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Guidelines for no residual malignancy

[QUOTE="sinman0531, post: 510742, member: 605607"] The denials are usually generic; “billing errors” or “not supported”. Yes, they are requesting medical records, and the pathology that is do... [ Read More ]

14040 and acceptable diagnoses

The skin flap/tissue transfer procedure is the closure for the excision of the mass, so the diagnosis you would use will be the diagnosis for the mass, which you would usually get from the pathology r... [ Read More ]

Multiple Lesion Excision question

What would be the appropriate CPT code for excision of a sebaceous cyst on the scalp or on the face that is subdermal or deeper? Answer: Integumentary lesion excision codes pertain to the epidermis,... [ Read More ]

CPT 45385 and 45380 Together

WHICH MODIFIER SHOULD I USE? SHOULD BOTH CODES HAVE A MODIFIER? 59, XS? PROCEDURES: 1. 14060 (left nasal dorsum) 2. 11640 (left lateral canthus) Guideline: .... The excision of a benign or a malig... [ Read More ]

excision of benign lesion eyelid 11443 or 67840

Under the section where you find 67840 in the CPT book, it says when the removal of a lesion includes more than skin (ie, involving lid margin, tarsus, and/or palpebral conjunctiva), see 11310-11313, ... [ Read More ]

help needed on this op note

Actually, you made me go back to my cpt manual and do another look, Tiaralady6466. It specifically states: "The excision of a benign lesion (11400-11446) or a malignant lesion (11600-11646) is not sep... [ Read More ]

Excision deep forehead mass

[QUOTE="haraml7, post: 468065, member: 251159"] I would wait for the pathology to come back to see if this was malignant or benign as that could change your coding, just so the provider gets the full ... [ Read More ]

Excision deep forehead mass

I would wait for the pathology to come back to see if this was malignant or benign as that could change your coding, just so the provider gets the full reimbursement of the procedure. Also, where did... [ Read More ]

Complex Repair complex repair 2020

Hi, The updated CPT guidelines for Complex Repairs states: Complex repair includes the repair of wounds that[I], in addition to the requirements for intermediate repair, require at least one of the f... [ Read More ]

Breast lumpectomy w/ adjacent tissue transfer

The text under the "Adjacent Tissue Transfer or Rearrangement" part of the CPT book, it reads about half way through: "The excision of a benign lesion (11400-11446) or a malignant lesion (11600-11646... [ Read More ]

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