First my disclaimer: Not an expert and spot answering questions when there's an "either or" possibility choice such as yours. I'm inclined to think based on what you have supplied that you might want to consider the use of 67810 rather than the integumentary system code of 11100. You are directed from code 11100 to consider the 67810 clearly stated as biopsy of eyelid and even the CPT Assistant from 12/4 seems to support this by the statement "lid" margin, tarsal plate, or palpebral conjunctiva. Again, don't work your type of specialty, and since you were asking for "thoughts", these are mine. Furthermore beneath the directions for Eyelids in the excision, destruction in the Surgery section for Eye and Ocular Adnexa one is directed to consider codes for removal of lesion, involving mainly skin of eyelid and you'll NOT find 11100 amongst the codes.. Again it's back to biopsy of eyelid.
Hopefully others more experienced with this type of specialty/procedure will correct, and or advise.
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