tci Outpatient Facility Coding Alert - 2014 Issue 7

You Be the Coder: Learn the Strategy for Coding Skin Lesion

Question: Mr. Johns was referred by the family physician to one of our physicians for a skin lesion removal from the forehead. The physician viewed the lesion as potentially more serious and not diagnosable by simple exam. So he performed a thorough exam and biopsy to determine the nature of the lesion. The biopsy result was positive for malignancy and the excision was rescheduled at a later date in the operating room. How do I code? Kentucky Subscriber Answer: You should report the biopsy with the code 11100 (Biopsy of skin, subcutaneous tissue and/or mucous membrane [including simple closure]...

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