tci General Surgery Coding Alert - 2019 Issue 2

Reader Question: Distinguish Additional Lesion Excision Method

Question: The surgeon performed a skin wedge biopsy followed by a punch biopsy for a separate lesion for the same patient on the same date of service. I’m confused about how to use the new add-on codes in this case — please advise. Ohio Subscriber Answer: You should bill the wedge biopsy as 11106 (Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion). You should use one of the new add-on codes for the second biopsy based on the method your surgeon used for that biopsy. In this case, that means you should bill...

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