AMA CPT® Assistant - 1996 Issue 5 (May)

Integumentary, 11400-11446, 11600-11646 (Q&A) (May 1996)

May 1996 page 11a Coding Consultation Integumentary, 11400-11446, 11600-11646 (Q&A) Question When a lesion is removed that turns out to be a neoplasm of uncertain morphology (eg, melanoma vs dysplastic nevi), is it correct to use excision of benign neoplasm rather than excision of malignant neoplasm? AMA Comment "Uncertain behavior" identifies tissue that is beginning to exhibit neoplastic behavior but cannot yet be categorized as benign or malignant. Additional or further testing is required. To ensure correct coding, the removal of the neoplasm should be coded after receiving the pathology report. When the morphology of a lesion is...

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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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