CPT^® 11107, Under Biopsy Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11107 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 or separate skin lesion after the first using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions. Report +11107 for each additional/separate lesion in addition to primary code 11106.

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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 ]

11102 & 17110 for same lesion?

[QUOTE="KimberlySherman, post: 505386, member: 102900"] Only the lesion destruction 17110 may be coded. The [U]NCCI Policy Manual[/U] states that a biopsy at the time of a more extensive procedure may... [ Read More ]

11102 & 17110 for same lesion?

Only the lesion destruction 17110 may be coded. The [U]NCCI Policy Manual[/U] states that a biopsy at the time of a more extensive procedure may not be coded for the same lesion (with one exception, w... [ Read More ]

Mohs and 88331 performed on same DOS

[QUOTE="sinman0531, post: 490909, member: 605607"] Yeah, even with modifiers we have never been paid on an 88331 performed by the same surgeon on the same day as a Mohs. Even with notes, they always s... [ Read More ]

Standard deviation

I am trying to obtain the CMS medians (average numerical score) and standard deviations (+/- 1 SD, +/-1.5 SD, +/- 2 SD) for the following codes: E/M codes (99201 -99205, 99211 – 99215), Bx codes old... [ Read More ]

Is pathology needed for biopsies?

[QUOTE="CatchTheWind, post: 391594, member: 245466"] No, you don't need path. Most dermatologists use D48.5 (neoplasm of uncertain behavior) as the diagnosis, although theoretically the more correct ... [ 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 ]

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 ]

11102

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 under add on codes Pick one primary code from 11102, ... [ Read More ]

Shave biopsy help PLEASE!

[QUOTE="TLC, post: 449496, member: 10795"]A patient came in and had three seperate lesions removed by shaving full thickness. All on the back two the same size and one larger. The provider coded as 11... [ Read More ]

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