AMA CPT® Assistant - 2004 Issue 10 (October)

Skin Biopsy Coding Guidelines (October 2004)

October 2004 pages 4-5 Coding Communication:Skin Biopsy Coding Guidelines Published for the first time in the CPT 2004, new guidelines for biopsy of skin, subcutaneous tissues, and/or mucous membranes were added under the biopsy subheading in the skin, subcutaneous and accessory structures of the integumentary system set of codes. The new guidelines clarify when and under what circumstances a skin biopsy can be reported. In addition, the “separate procedure” designation was removed from biopsy codes 11100-11101. The designation was removed to eliminate confusion that has led to incorrect denial of the biopsy codes when other skin procedures are...

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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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