tci General Surgery Coding Alert - 2006 Issue 3

Reader Questions: Don't Rely on 'Biopsy' for Coding Guidance

Question: How should I code for an -excisional biopsy-? Is this a biopsy only, or is it truly an excision of some type?Mississippi Subscriber Answer: An -excisional biopsy- generally means a complete excision.Your confusion is justified, however: Not only do physicians and coders apply the terms -excision- and -biopsy- imprecisely, but you can easily mistake a lesion excision for a biopsy because when your physician removes a lesion, he will usually also send a sample of the lesion for a biopsy afterward.Quick tip: For coding, a biopsy (for example, 11100, Biopsy of skin, subcutaneous tissue and/or...

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