tci General Surgery Coding Alert - 2014 Issue 1

Reader Question: Choose Nasal Code Over Skin

Question: The surgeon excised a 1.8 mm warty papilloma in the left nares on the lateral vestibular wall. He then cauterized the base to stop bleeding. Should I report the procedure as 30117 or 11440? Tennessee Subscriber Answer: Code 11440 (Excision, other benign lesion including margins, except skin tag [unless listed elsewhere], face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less) does represent lesion excisions, but it isn’t the best choice in this case. You don’t state the results of the pathology report; you should only submit 11440 for benign lesions...

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