Wiki need a code for stoma biopsy

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What is the procedure code for stoma biopsy in the office. The office note reads STOMA: pink, some mucosa changes inferiorly and laterally.

History of rectal cancer.

It isn't really skin but it isn't really intestine.
 
We bill these as CPT 49180 plus guidance code, but we are not in an office setting.
 
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