Ear Biopsy

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 code would reimburse at a higher level than 11102.  According to the Medicare fee schedule, the national reimbursement rate for 11102 is $41.08 and for 69100 it is $50.45.

*This response is based on the best information available as of 5/23/19.

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