Clear up confusion surrounding 2019 CPT coding for dermatologic biopsies

December 4th, 2018

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

Article Overview

This article explains 2019 CPT reporting updates for biopsy services, with emphasis on dermatologic procedures, fine-needle aspiration, and other diagnostic biopsy categories. It is intended for coders, billers, auditors, and compliance professionals who need to understand how the 2019 code set changes affect documentation and reporting across common biopsy scenarios. The discussion also touches on related ICD-10-CM examples used to support medical necessity and on the broader shift toward more specific procedure reporting.

Why This Topic Matters

The 2019 CPT changes alter how biopsy services are categorized and reported, so professionals responsible for coding and claim accuracy need to recognize which services are affected and which reporting categories remain unchanged.

Article Sections

  1. Fine-needle aspiration codes

    Introduces the 2019 CPT changes affecting fine-needle aspiration reporting and discusses the role of imaging guidance and lesion counting. The section also references example diagnosis codes used in support of medical necessity.

  2. Other diagnostic biopsy codes

    Covers the 2019 updates for other diagnostic biopsy reporting, including technique-based categories and changes affecting separate and additional lesions. It also notes related closure considerations and a set of site-specific biopsy codes that remain unchanged.

What You Will Learn

  • How the 2019 CPT update affects biopsy reporting categories
  • Which biopsy services are discussed as technique-based versus site-specific
  • What types of supporting diagnosis examples are mentioned
  • How reporting changes relate to imaging guidance and multiple lesion scenarios
  • Which biopsy code groups were noted as remaining unchanged

Who Should Read This

  • Medical coders
  • Coding educators
  • Auditors
  • Compliance staff
  • Billing professionals
  • Revenue cycle teams
  • Physician practice staff

Codes Discussed

  • ICD-10-CM: E04.1
  • ICD-10-CM: N63.23
  • ICD-10-CM: J38.2
  • CPT: 10021
  • CPT: 10004
  • CPT: 10022
  • CPT: 10005
  • CPT: 10006
  • CPT: 10007
  • CPT: 10008
  • CPT: 10009
  • CPT: 10010
  • CPT: 10011
  • CPT: 10012
  • CPT: 11100
  • CPT: 11101
  • CPT: 11102
  • CPT: 11103
  • CPT: 11104
  • CPT: 11105
  • CPT: 11106
  • CPT: 11107
  • CPT: 11755
  • CPT: 30100
  • CPT: 40490
  • CPT: 40808
  • CPT: 41100
  • CPT: 41105
  • CPT: 41108
  • CPT: 54100
  • CPT: 56605
  • CPT: 56606
  • CPT: 67810
  • CPT: 68100
  • CPT: 69100
  • CPT: 69105

Code Ranges Discussed

  • CPT: 12031-12057
  • CPT: 13100-13153

Modifiers Discussed

  • CPT: -59

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