Wiki Multiple Shave and Tangential Biopsy

[dawn@midtown-derm.com]

I have a case in which a 11102 linked to D48.5, and 11300 W D23.61, 11305 and 11306 w D23.4, 11310 W D23.39 is being billed. - Suggestions on the best way to bill this needed or any insight. based on the note, the intent was not specified to remove the entire lesion, but the pathology report states Base included on the shave CPT Codes. 11102 was not fully removed. This was all performed in the same setting. Suggestions on the best method to bill, all shave biopsy codes due to intent or leave as is? I have also seen some payers reject and bundle payment with cases like this as well.

 

[iowagirl77]

I would code it based on the method employed. If the documentation isn't clear, query your provider. A shave biopsy can include the base, as the lesions the provider uses this method on tend to be shallow. If you determine these are the correct codes and they are each for a separate lesion, you would need a 59 or XS modifier to 11300 (bundles to 11102) and 11102 (bundles to 11305, 11306, 11310).