tci Part B Insider - 2003 Issue 19

Malignant, Benign Lesions: All the Same to Medicare - New Codes for Home Cardiac Telemetry, ESRD Care

The 2003 CPT book changed the definitions for excision of benign lesions (11400-11446) and malignant lesions (11600-11646). Now, you report these codes based on the diameter of skin removed, not the size of the lesion. In response, Medicare will pay the same for lesion removal, whether benign or malignant, based on the size of the area removed and the body part. For example, the work RVUs will be the same for 11402 (Excision, benign skin lesion, trunk, arm or legs with excised diameter 1.1 to 2.0 cm) as for 11602 (the same thing for a malignant lesion)...

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