We are have specific CPT codes for skin biopsy. These procedure codes will be more specific compared to previous procedure codes. Their are around 6 CPT codes for skin biopsy, punch biopy and incisional biopsy. Before going ahead have a look at the some of the coding tips for different facility in coding.
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Deleted CPT codes for skin biopsy from 2019
CPT code 11100 and 11101 are deleted in 2019. We will be having 6 new CPT codes in place of these codes.
11100 ; Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion
11101 ; each separate/additional lesion (List separately in addition to code for primary procedure)
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New CPT codes for skin, punch & tangential biopsy
A skin biopsy, using shave, scoop, saucerize or curette technique. is done to remove small, raised skin lesions including dermal nevi, non-melanocytic malignant tumors (squamous cell, basal cell carcinomas), and inflammatory or bullous skin disorders.
Skin biopsies are reported based on one of three techniques used: tangential, punch, or incisional. Tangential technique describes a biopsy performed via a sharp blade to obtain a superficial, epidermal tissue specimen that may or may not include sections of underlying dermis and does not involve a full-thickness biopsy. Punch technique involves the use of a specific punch tool to obtain a full-thickness, barrel-shaped, or columnar-shaped specimen. Simple closure, including any manipulation of the biopsy defect, is included in the performance of a punch biopsy. The incisional biopsy technique describes a biopsy utilizing a sharp blade (no punch tool) to obtain a full-thickness specimen via a wedge or vertical incision. This technique type may involve specimens of subcutaneous fat. Closure of an incisional biopsy, other than simple closure, is reported separately.
CPT code 11002 is reported for a tangential biopsy, initial lesion; each additional lesion, use CPT code 11003. Report 11004 for a punch biopsy, initial lesion; each additional lesion, use CPT code 11005. CPT code 11006 is reported for an incisional biopsy, initial lesion; each additional lesion, use CPT code 11007.
CPT code 11102 is reported for a single lesion removed by tangential skin biopsy and code 11103 for each additional lesion.
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