If the biopsy was the same lesion excised then no it cannot be billed. A biopsy is a small piece of a lesion removed to send to path, and an excision is the entire lesion removed to a depth of full thickness, therefore once the lesion has been excised there is nothing left to biopsy. If there are 2 different lesions and one is biopsied and the other is excised then you may bill for both with a 59 modifier on the biopsy code.
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