Results 1 to 2 of 2

Biopsy removal/Cpt coding

  1. #1
    Default Biopsy removal/Cpt coding
    Medical Coding Books
    I'm confused when a doctor removes eg: a 7mm lesion for biopsy on the arm, however the total area of the diameter "cut" out is 3cm to make sure all possible cancer is removed how would that be coded? ......11601 for the 7mm lesion plus 3mm margins,,, or 11603 for the total diameter of the cut. Thanks

  2. #2
    Milwaukee WI
    Default Measuring lesion
    The measurement of the lesion needs to be taken by the physician BEFORE excision. A lesion is measured at it's widest diameter PLUS narrowest margin needed for complete removal.

    Please see the guidance and drawings in the CPT manual (2011 Professional Edition, published by AMA, page 62. You see that the lesion is 0.2 cm, the excised diameter is 0.4 cm, but the length of the elliptical excision (makes the whole thing look like the drawing of an eye) is MUCH longer (probably 1.0 cm).

    The length of the incision may be (and usually IS) considerably longer to allow for closure. This separate measurement must also be given so that layered closure can be appropriately coded (if performed).

    You should ask the doctor whether the 7mm measurement includes the narrowest margin; if not, you need to know what the narrowest margin is ... AND the physician needs to amend his documentation to reflect that.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Coding shave removal VS. biopsy VS. destruction
    By JasperCPC in forum Dermatology
    Replies: 1
    Last Post: 06-10-2014, 03:52 PM
  2. Dermatology Coding: shave removal VS. biopsy VS. destruction
    By JasperCPC in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-06-2014, 12:33 PM
  3. CPT coding assistance on removal of drains & IV's
    By Awren in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-09-2014, 02:38 PM
  4. ICD/CPT Coding VNS Removal -non functioning
    By Rip in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 05-08-2012, 11:16 AM
  5. Replies: 1
    Last Post: 01-12-2012, 11:07 AM

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?


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.