New Skin Biopsy Codes

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Is anyone else experiencing issues using the new skin biopsy codes (11102, 11104, 11106 etc) for medicare patients? Our MAC, Palmetto, has put the new biopsy codes under their LCD for Removal of Benign and Malignant Skin Lesions. This seems like a bit of an oxymoron. By that I mean, a biopsy infers taking a sample of a lesion not removing it. This has already created claims issues with claims being kicked back for diagnosis codes that are not listed on the policy. For specific example, we had a patient present with a rash and performs a shave biopsy of the skin for pathological examination.

We billed 11102 with diagnosis L30.9 (he suspects it is some kind of dermatitis)


Maybe I am missing some other option as far as coding this visit. Anyone want to weigh in, advise, suggest, commiserate?
 
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