tci ED Coding & Reimbursement Alert - 2019 Issue 7

Reader Question: Report Can Reveal Cyst Details

Question: A patient with a growth on the side of his face presented in the ED. The physician stated that the lump appeared to be an inclusion cyst. Under local anesthetic, the physician made an incision. She then removed the growth, and sent it to pathology to rule out basal cell carcinoma. The preliminary results indicated keratoacanthoma. Which CPT®code should I report? Supercoder Subscriber Answer: The first issue you need to resolve is whether the lesion is benign or malignant. For excision of benign lesions, you should consider the code set 11400-11471, and choose the appropriate code based...

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