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Thread: 11100

  1. #1
    Join Date
    Apr 2007
    Location
    Nashville, TN
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    64

    Default 11100

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    If we billed for a biopsy 11100 with dx code 238.2. The pathology reveals a dysplastic nevus with margins involved. The patient is brought back in for re-excision. Do we code as another biopsy 11100 or for an excision (example 11403)? Also, would the second visit be coded with the 238.2 dx or would you use the code indicated on the biopsy?
    Last edited by Maryst; 04-22-2009 at 10:30 AM.

  2. #2
    Join Date
    Apr 2007
    Location
    Duluth, Minnesota
    Posts
    1,133

    Default

    you'd use the excision code if that's what they do(the re-biopsy that they'll do on that tissue is inculded in the code). if the initial biopsy came back as "plastic nevus with margins involved", that's what you'd be coding from for "this" excision - because that's "WHY" they're doing this excision..

    hope that helps.
    Donna, CPC, CPC-H

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