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Wiki anal skin lesion

Bethy4444

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PT had a skin lesion on her anus which ended up being squamous carcinoma. Report states "excisional biopsy of perianal skin lesion" as the procedure. My first thought was 11100. But could I use 46922? I know this code falls under destruction, but it specifically also states surgical excision. Also, if the diagnosis is confirmed as malignant, then wouldn't the code be a skin lesion removal:malignant code, such as 11602? Which of these three would I use? Thanks for any help.:confused:
 
The lesion was excised...the code you would want to use is 11602-if that indicates the correct size. In addition, if an intermediate closure was done, that can also be billed.
 
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