Wiki Lesion excision vs. Skin Tag CPT codes

bethb

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I'm second guessing myself on this one.

The provider excised a lesion and sent it for pathology. Pathology diagnosis is skin tag.

The provider is wanting CPT 11402 (benign lesion excision) to be billed. But, has asked if the 11402 should be changed to 11200, removal of skin tag, based on the pathology.

I can understand why the provider is asking. Since the excision of the entire "lesion" was done, would 11402 still be billed? Or since the pathology showed the lesion to be a skin tag, should we bill 11200 instead?

Thank you in advance!

Beth B. CPC
 
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