Dermatology Coding Alert

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Lesion destruction versus biopsy

Question: How should we bill for a biopsy when we submit it to a pathologist? Our dermatologist treats basal cell carcinoma with destruction, but also always performs a biopsy.

Nevada Subscriber

Answer: Biopsy and destruction are mutually exclusive, which means you cannot bill them together if  they were completed during the same session. The destruction is the higher-level procedure, so only report it. Choose the appropriate code from 17260-17286 for destruction of malignant lesions (based on the lesion size and location).

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