tci General Surgery Coding Alert - 2003 Issue 10

Reader Question: 2 Lesions? Code for Both

Question: The surgeon excised two benign lesions of about the same size (roughly 0.8 cm) from the patient's vulva. They only required a simple suture. How should I report the two excisions?Ohio Subscriber Answer: You should separately report each lesion the physician excised, according to CPT. In this case, you have two options for reporting this service. First, you can submit 11421 (Excision, benign lesion including margins, except skin tag [unless listed elsewhere], scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm) and 11421-51 (Multiple procedures). Alternatively, you can use 11421 and...

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