Surgery/Integumentary System (June 2008)

June 2008 page 14 Surgery/Integumentary System, 11442 (Q&A) Question: If two lesions are removed but only one excision is made, how is this reported? Answer: From a CPT coding perspective, it is appropriate to report only one excision of lesion code. For example, if two benign skin lesions, measuring 0.5 cm each, are removed with one excision, then only one excision of lesion code would be reported. Because only one excision was performed, it would not be appropriate to report two separate excision of lesion codes. The excision of lesion code should accurately reflect the maximum excised...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article presents a CPT-focused question and answer from Surgery/Integumentary System guidance in June 2008. It addresses how to think about excision reporting when more than one lesion is removed during a single operative event, and it is most relevant to coders working in dermatology, surgery, and related professional services coding.

Why This Topic Matters

It helps coders and billers recognize how a single procedure is represented in CPT reporting when multiple lesions are involved, supporting more accurate documentation review and claim preparation.

What You Will Learn

  • How this CPT Q&A frames lesion excision reporting in a single-procedure scenario.
  • What broad factors are discussed in evaluating excision reporting for integumentary surgery coding.
  • How this guidance is positioned within CPT Assistant educational content.
  • intended_audiences":["Medical coders","Coding auditors","Billing staff","Dermatology and surgery coding professionals"],"topics":["CPT coding","Integumentary system","Skin lesion excision","Professional coding guidance","Q&A format"],"medical_specialties":["Dermatology","Surgery"],"code_sets":["CPT"],"codes":[{"code_set":"CPT","code":"11442"}],"code_ranges":[],"modifiers":[],"content_type":"Coding Q&A article","effective_dates":["June 2008"],"organizations_mentioned":["CPT Assistant","American Medical Association"],"keywords":["excision of lesion","single excision","multiple lesions","maximum excised diameter","integumentary system"],"questions_answered":["How is a single excision reported when two lesions are removed?","What broad CPT reporting concept is illustrated by this integumentary surgery example?"],"access_description":"Premium CPT Assistant educational article with a short question-and-answer format on integumentary system coding. Public metadata summarizes the topic and audience without reproducing the full coding guidance or example details.","disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}}]}]}]}}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}}}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}}}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}ి}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}}}]}]}]}]}]}}}]}]}]}]}]}}}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}}}]}]}]}]}]}]}]}]}]}]}]}]}}}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}}}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Dermatology and surgery coding professionals

Codes Discussed


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