CPT^® 54100, Under Excision Procedures on the Penis

The Current Procedural Terminology (CPT^®) code 54100 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Penis.

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Summary

The provider performs a biopsy of the penis in which he collects a sample of a superficial skin lesion on the penis. The provider performs this procedure for diagnostic purposes.

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Compounded medication

[QUOTE="SharonCollachi, post: 498904, member: 654943"] I am assuming you mean J7999 for compound drugs. Compound drugs are contractor-priced. Here is one LCD that discusses it, including pricing: [... [ Read More ]

Compounded medication

I am assuming you mean J7999 for compound drugs. Compound drugs are contractor-priced. Here is one LCD that discusses it, including pricing: [URL]https://www.cms.gov/medicare-coverage-database/deta... [ Read More ]

Penile Biopsies

When using the 54100 code, can you code this multiple times for multiple lesions. (54100, 54100.59)?... [ Read More ]

Penile Biopsies

If it's just a true biopsy (sampling of [I]portion [/I]of the lesion) via shave technique, then use 54100. 11100 would be used for scrotum or pubic area. 54100 is used for the main shaft/head of pe... [ Read More ]

Penile Biopsies

I obtained an elliptical shave biopsy of the distal shaft skin near the coronal margin at the 10 and 2 o'clock position about 5 mm long and 2 mm wide in both lesions. Hemostatis was achieved with bovi... [ Read More ]

Shaved Biopsy

Per DermCoder.com, you would bill 54100, 54100-76, 54100-76. However, if you are billing Medicare, be prepared to get a denial and to appeal it with records, because per the Medicare Unlikely Edits, ... [ Read More ]

Shaved Biopsy

Thank you. Does anyone know if the patient had 3 biopsies done can I code for 54100, 54100.59, 54100.59 or can you only bill for the 54100 one time?... [ Read More ]

Shaved Biopsy

CPT 54100 is just for that. 54100 Biopsy of penis; (separate procedure)... [ Read More ]

Shaved Biopsy

Doctor did a shaved penile biopsy of a lesion that was 2mm in size. He said he did not take the whole lesion just part of it. Would I code this as 54100, 11305, or 11100? Any help would be appreciated... [ Read More ]

E/M is it billable w/Modifer 57

When a new pt is seen in the office & has the following procedures done : biopsy (dx D22.9) & surgical excision (54100 w/dx A63.0) are we able to file a new pt visit w/modifier 57 or is the E/M inclu... [ Read More ]

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