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Wiki 11100 Punch biopsy

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wynonna

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Are there new guidelines for this procedure? (11100 for a skin punch biopsy) If a punch excision is done and the results prove to be benign or malignant, do we code under "Excision of benign Lesions" for 11400-11471? and 11600-11646 for "Excision of Malignant Lesions"? (assuming we have dimensions and location on body) or do we always code punch biopsy under 11100 when we have pathology/dimensions/body location.
When do we actually use 11100?
thank you!
 
Biopsy (11000) is taking a sample of a lesion for analysis. Its different from an excision which is full-thickness (through the dermis) removal of a lesion, including margins.
 
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Select your code based not only on what was done but why it was done.


Was the service scheduled to take a sample for biopsy? 11000

Was is scheduled to remove a lesion? Then the 114XX or 116XX codes


Hope it helps!
 
11100

Yes this info helps. Also, my provider told me if a piece is taken for biopsy, it is billed 11100. If the ENTIRE lesion, with margins is excised, it is then billed according to nature--benign or malignant in 114 or 116 range.
thank you
 
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