Results 1 to 8 of 8

Thread: how do code a shave biopsy??

  1. #1

    Default how do code a shave biopsy??

    Our physician did a shave biopsy of a 1 x 2 cm scalp lesion and then cauterized the lesion and sent for pathology.
    Can't find a CPT code that includes both the shave biopsy & cauterization. Code 11100 states shave biopsy but with a simple closure not cauterization. Please advise. Thanks.

  2. #2

    Default

    11100 is for like a punch biopsy. A shave biopsy uses 113xx codes. Please see the following to directly answer your question. The physician removes a single, elevated epidermal or dermal lesion from the scalp, neck, hands, feet, or genitalia by shave excision. Local anesthesia is injected beneath the lesion. A scalpel blade is placed against the skin adjacent to the lesion and the physician uses a horizontal slicing motion to excise the lesion from its base. The wound does not require suturing and bleeding is controlled by chemical or electrical cauterization. Report 11305 for a lesion diameter 0.5 cm or less; 11306 for 0.6 cm to 1 cm; 11307 for 1.1 cm to 2 cm; and 11308 for lesions greater than 2 cm.

  3. #3

    Default Shave biopsy

    The physician is not doing a shave EXCISION. He is just taking a portion for biopsy by shaving off a portion of the lesion. Are we still correct in using the shave excision then.
    Please advise. Thanks.

  4. #4

    Default

    Yes, that is why I was explaining you use the 1130X codes.

  5. #5

    Default

    was this ever resolved? i understand that a biopsy is taking part of the lesion no matter how it is removed. When removing the complete lesion then it is coded as a removal - correct?

  6. #6

    Default Punch biopsy and shaving of the lesion are performed.

    Punch biopsy and shaving of the lesion are performed. How is this CPT Coded. What should I look for in the Index. Thank you.

  7. #7
    Join Date
    Apr 2007
    Location
    Dover Seacoast New Hampshire
    Posts
    1,832

    Default

    Check out August's issue of Healthcare Business Monthly. On page 18 is a description of how to bill a "shave biopsy". Actually, there's no such thing. You either shave, or you biopsy.
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  8. #8
    Join Date
    Apr 2007
    Location
    Bay City, Michigan
    Posts
    147

    Default

    Quote Originally Posted by Pam Brooks View Post
    Check out August's issue of Healthcare Business Monthly. On page 18 is a description of how to bill a "shave biopsy". Actually, there's no such thing. You either shave, or you biopsy.
    Thanks, Pam. I remember reading this, but couldn't remember where.

Similar Threads

  1. Shave Biopsy vs Destruction code
    By susie09 in forum Dermatology
    Replies: 3
    Last Post: 02-09-2015, 06:43 AM
  2. Shave vs Biopsy
    By mlchambers in forum Dermatology
    Replies: 4
    Last Post: 06-15-2010, 10:35 AM
  3. biopsy versus shave biopsy-help
    By sauls in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 01-14-2009, 02:10 PM
  4. help with shave biopsy please
    By anleocpc in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-18-2007, 10:06 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.