Category: Dermatology

Ear Biopsy
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Ear Biopsy

May 23, 2019 Question: What is the correct code for a tangential biopsy of the antihelical fold?  I was going to bill 11102, but I was told that there are different codes in other sections of CPT for some biopsies. Answer: The correct code would be 69100, Biopsy external ear.  As a bonus, this correct...

Skin Tag Removal by Shave
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Skin Tag Removal by Shave

May 9, 2019 Question: If I remove 3 small skin tags (less than 0.5cm) by shave technique from a patient’s neck, can I bill 11305 with three units due to the technique? Answer: No.  According to CPT, the skin tag removal codes 11200-11201 are for removal of skin tags “by scissoring or any sharp method,...

Modifier 50 for ATT?
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Modifier 50 for ATT?

April 25, 2019 Question: My doctor did two adjacent tissue transfers, one on the abdomen and one on the each leg of the patient.  He wants to bill 14020 with modifier 50, but I don’t think that is correct.  Help. Answer: CPT code 14020 has an indicator of “0” for bilateral procedures, which means that...

E-Consults?
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E-Consults?

March 28, 2019 Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare and getting paid.  Is this a billable service? Answer: Yes!  Medicare has added CPT codes 99446-99452 for interprofessional/ telephone/internet/electronic health record (EHR) consultations to the fee schedule, so they are now payable services.  These are...

Optical Biopsy Changes?
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Optical Biopsy Changes?

March 14, 2019 Question: Since the skin biopsy codes changed, I would like to ask if you know of any changes to the CPT codes for optical biopsies of the skin.  Some of these codes include: 96931  First lesion – cellular and sub-cellular imaging of skin; combined image acquisition and interpretation and report, 96932  image acquisition only,...

Skin Biopsy Codes
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Skin Biopsy Codes

February 28, 2019 Question: What happened to the skin biopsy codes?  Answer: CPT deleted CPT codes 11100 and 11101 and replaced them with six new codes: 11104 Punch biopsy of skin (including simple closure, when performed); single lesion (NF Allowable $143.48) +11105    each separate/additional lesion (List separately in addition to code for primary procedure)...

Pilonidal Cyst Removal and Repair
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Pilonidal Cyst Removal and Repair

February 14, 2019 Question: If one of our doctors removes a complex pilonidal cyst that requires a rhomboid flap repair, is the repair part of the code 11772 for complicated excision of the pilonidal cyst?  I did not think so, but I know that each procedure includes the approach, the definitive, and closure, so now...

Skin Tag Removal
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Skin Tag Removal

January 31, 2019 Question: One of the doctors removed 4 skin tags by shave, so she wants to code them as shaves of epidermal lesion codes 11300-11313.  Is that correct? Answer: No. The skin tag removal codes 11200-11201 should be reported as they are diagnosis-code specific.  The method of removal is not the driver for...

What is Simple?
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What is Simple?

January 17, 2019 Question: The incision and drainage codes 10060-10061 and 10080-10081 have one code for simple and one for complicated.  Does CPT define what is simple and complicated? Answer: No, CPT does not define them.  The AMA states that it is up to the physician’s discretion based upon the complexity of the incision and...

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