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Shave Bx & Punch Same Session/Same Lesion

  1. #1
    Default Shave Bx & Punch Same Session/Same Lesion
    Medical Coding Books
    Wondering if someone would be kind enough to help me
    with coding the following:
    Shave bx of cheek lesion and Punch Bx of same
    I was thinking 11100-58 & 11300 DX: 238.2?
    Still new and learning - Thanks Deb, CPC

  2. #2
    Columbia, MO
    If this is the same lesion then you can bill only one unless the lesion is documented as being large and biopsies were taken at different areas if that is the case then you can code two different codes but you will need a 59 modifier and the dx cannot be the 238.2 as that is a dx can only come from a path report. the dx could be a 709.8 or wait for the path report. A procedure note would help.

    Debra A. Mitchell, MSPH, CPC-H

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