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Thread: Need help with skin lesion removal coding

  1. #1
    Join Date
    Apr 2007
    Watertown New York

    Default Need help with skin lesion removal coding

    AAPC: Back to School
    When coding skin lesion removals, is it appropriate to hold CPT coding until the pathology report is received with either malignant or benign DX?

  2. #2


    Absolutely, excision of skin lesion (CPT 114XX and 116XX)codes are based upon a malignant or benign diagnosis; also remember, exc. of malignant lesions (116XX) have higher RVU's than the exc. of benign lesions (114XX); not waiting for a pathology report to code appropriately may have a negative impact on the practices revenue.

    CT ENT

  3. #3


    Yes it is appropriate to wait for the pathology report. You do need to know if it was malignant or benign, especially if the removal method was excision.

  4. #4
    Join Date
    Apr 2007


    Yes you would want to hold until it comes back so you can put the correct diagnosis on the claim.
    Herbie W Lorona Jr., CPC, CPC-H

  5. #5
    Join Date
    Apr 2007


    I agree. You need to hold for correct coding.

    Teresa Collins, CPC

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