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Urology Coding Alert

Reader Question:

Bill Both Excision and Closure for In-Office Lesion Removal

Published on Fri Jun 17, 2011

Question: My physician excised scrotal cyst that was 6 cm in the office with an intermediate closure. Can I bill the excision and the closure? Colorado Subscriber Answer: Yes. In this case bill both CPT® codes. First, report 11426 (Excision, benign lesion including margins, except skin tag [unless listed elsewhere], scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm) for the removal of the lesion. Then, report 12042 (Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm) for the layered closure.
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