Wiki biopsy vs excision

jackiems

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Would this be a biopsy code or excision ? Thanks

A punch biopsy tool was used to take deeper chunk of the lesion as close to base as possible. The punched piece of the lesion was then excised using forceps and scalpel. Hemostasis was achieved by electric cauterization. The open areas were then sutured back with 3.0 silk.
 
It reads as a Punch Biopsy. It looks as if this may have been performed previously and your provider is removing more of the lesion? If this was performed previously, make sure to apply your 58 modifier to the CPT of 11104.
 
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