AMA CPT® Assistant - 2004 Issue 8 (August)

Pathology and Laboratory/Drug Testing (August 2004)

August 2004 page 10 Coding Consultation:Questions and Answers Pathology and Laboratory/Drug Testing, (Q&A) Question A frozen section pathology report comes back during the same operative session showing the margins of excision are not adequate and an additional excision is performed to remove the entire tumor. Should two excision of lesion codes be reported in this instance? AMA Comment From a CPT coding perspective, it would not be appropriate to report two excision of lesion codes if an additional excision is performed for complete tumor removal. Instead, only one code should be reported based on the final widest excised...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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