CPT^® 11103, Under Biopsy Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11103 as maintained by American Medical Association, is a medical procedural code under the range - Biopsy Procedures on the Skin.

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Summary

The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion biopsied in addition to the primary code 11102.

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Biopsy Coding: Incisional vs. Punch vs. Shave cpt11102 cpt11104 cpt11106 dermatology incisional biopsy punch biopsy shave biopsy skin biopsy

Hello! I would like to kindly inquire regarding the proper coding for biopsy, especially if there is more than one type of biopsy done during a patient's single visit. The scenario will be as follows... [ Read More ]

59 (X) Modifiers on add-on codes?

Hello, I am a new coder that recently started my first position last month and I am in dermatology. I had thought that add on codes didn't require a modifier because they didn't have any edits. For ex... [ Read More ]

Add ons denying as bundled

For the example with codes 17110, 17000 and 17003, codes 17000 and 17003 are column 2 codes with code 17110. The column 2 codes will require the modifier. For the other example, 17110 is a column 2 co... [ Read More ]

Add ons denying as bundled

for the example with 17004, 17110, 11102 and 11103 the 17110, 11102 get modifer 59 not the 17004... [ Read More ]

Add ons denying as bundled

17000 x14 units is correct, this add on code is per [B][U]each[/U][/B] additional. We also include the modifiers on the add on codes. I know that some payers do not require but it seems to help our cl... [ Read More ]

Add ons denying as bundled

For the first code, you don't use 17003 with "x14" as the code explicitly states "second through 14"lesions. For the second example, how many tangential biopsies were done? 11103 is an add on code an... [ Read More ]

Add ons denying as bundled

We’ve recently been getting a lot of add on codes denied from MA and Medicare plans when they are billed with 17110. Examples: 99203-25: pays 17110: pays 17000-XS: pays 17003 x12: denied as unbundl... [ Read More ]

The Great Modifier 59

I’m newly working in dermatology, so I just want to make sure I have this correct; Frequently our providers will perform premalignant destructions (17000-17004), benign destructions (17100 & 17111) ... [ Read More ]

Insurance denying pathology for shave removals (113XX)

Hi all, I recently received an upheld denial from Health Partners insurance (Minnesota) indicating that we cannot bill pathology with shave removals. Per insurance claim coding committee, 2019 CPT C... [ Read More ]

what modifier do I use?

When I run CCI edits on codes 11106 and 11102, there is an NCCI edit, and you are not allowed to apply a modifier to bypass the edit. The reason for this is because the CPT guidelines state not to rep... [ Read More ]

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