CPT^® 11106, Under Biopsy Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11106 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 a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions.

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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 ]

E/M

simple question : patient came in for a 99213 , but then the doctor removed a single lesion , would that be 11106 with a 25 modifier?... [ Read More ]

Mohs and 88331 performed on same DOS

[QUOTE="thomas7331, post: 490905, member: 5404"] The provider is billing correctly if the 88331 was done prior to the Mohs surgery, but a modifier is needed to prevent the code from denying. There i... [ Read More ]

Mohs and 88331 performed on same DOS

The provider is billing correctly if the 88331 was done prior to the Mohs surgery, but a modifier is needed to prevent the code from denying. There is guidance on this in the CPT book in the sectio... [ Read More ]

Frozen Sections w/Mohs

This question is directly addressed in the CPT book at the beginning of the Mohs code section: [I]If a biopsy of a suspected skin cancer is performed on the same day as Mohs surgery because there was... [ Read More ]

Mohs

Per CPT, you can bill these on the same lesion if there was no prior pathology - see the instructional note at the beginning of the Mohs section: [I]If a biopsy of a suspected skin cancer is performe... [ Read More ]

Fat pad biopsy

Can anyone help with how to code a fat pad biopsy? Below is the procedure note for this. I was leaning toward 11106, but I would like some input please. Thank you! Patient was positioned in a supin... [ 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 ]

what modifier do I use?

Back-End Errors: CCI edits: CCI edit failed for CPT(R) codes 11106 and 11102: CPT Manual or CMS manual coding instructions. Appropriate modifier must be applied to the Column 2 Code. See [URL]http://... [ Read More ]

11102

[QUOTE="CodingKing, post: 454921, member: 323638"] Under the new biopsy codes eff 1/1/19 (11102-11107) you need to bill the most intensive code and then each additional lesion biopsied is reported und... [ Read More ]

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