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Thread: Punch biopsy

  1. #1

    Default Punch biopsy

    AAPC: Back to School
    Can a punch biopsy also be considered an excision since it goes through the full thickness of the dermis? Can margins be included in a punch biopsy?



  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    A biopsy by definition is a removal of a piece of the lesion (visible lesion), and it does not matter if it is full or partial thickness. Whereas an excision is full thickness removal of the entire (visible) lesion. A punch is a tool. So if the physician removes the entire lesion with a punch then it is an excision since a punch is always full thickness. I hope that helps!

    Debra A. Mitchell, MSPH, CPC-H

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