Read the guidelines in CPT for Biopsy of skin (CPT 11100-11101) and Excision of Benign (CPT 11400-11446) and Malignant (CPT 11600-11646) Lesions.
Each lesion excision or biopsy is coded separately, defined by location and size. Your physician calls these all "biopsies" but if he actually excised the entire lesion, even using a punch biopsy technique, then it should be coded as an excision not a biopsy. You may have to query him to verify.
You will need to have the pathology report before you can choose the correct codes. "Suspected" basal cell carcinoma is NOT a definitive diagnosis. Never give a patient a cancerous diagnosis without the confirmation of a pathology report.
Simple closure is included in all these codes. I see that the excision for one lesion required undermiing and layered closure. This closure is separately reportable.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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