Wiki Biopsies of SCC nose lesion

seslinger

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Can I charge 11100 plus 11101 x5 for the following:

... six biopsies were done, consisted of the medial deep margin biopsy involved tissue about the distal portion of the nasal bones inclusive of nasal mucosa. The lateral deep margin involved the tissue about the piriform aperture on the right. The inferior deep margin involved the tissue from the nasal floor region of the nose. The right lateral skin of the ala was biopsied. The deep superior margin involved tissue overlying the lateral nasal bone maxilla area near the nasal ala, and the anterior septum soft tissue and cartilage was also biopsied.

No closure was done. Also, I wanted to make sure I should not be billing the 11640.

thanks for any imput.
Sheila
 
11640 is specific to excisions. Which is a full thickness removal of the lesion. According to the notes you posted, you would code the biopsies.

6 bx were done 11100 for the first, and 11101 for any additional.

Also, make sure you are waiting for the pathology report to determine what type of cancer they are.
 
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