Wiki Lesion removal codes


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When our doctors remove lesions such as shave bx or excisions, we always wait until the pathology report comes back and then use that dx. There is an LCD for removal of benign skin lesions so anytime I code a shave bx or the 17110 and the dx comes back as malignant it is coming back that it needs a covered dx. Should I not be waiting for the path report?
17110 is for destruction of benign lesions, if your provider performs a bx or an excision you cannot use a 17110, you would bill the bx code for a bx and the excision code for the excision. You cannot bill an excision without a path report, the bx you may bill without the path but you would need top use a code for skin disorder such as 709.8.