Patient is an 81-year-old male with a biopsy proven basal cell carcinoma of this posterior neck just near his hairline; additionally the patient had two additional areas of concern on his cheek. informed consent was obtained and the areas were prepped and draped in the usual sterile fashion. attention was first directed to the basal cell carcinoma of the neck, i excised the lesion measuring 2.6 cm as drawn down to the subcutaneous fat. with extensive undermining of the wound i closed in layers using 4.0 monocryl, 5.0 prolene and 6.0 prolene; the wound measured 4.5cm. attention was then directed to the other two suspicious lesions on his cheek; after administering local anesthesia i proceeded to take a 3mm punch biopsy of each lesion and was able to close with 5.0 prolene. the patient tolerated the procedures well. pathology later showed the basal cell carcinoma was completely removed and the biopsies indicated actinic keratosis. what cpt® codes should be reported
Answers
Answered by
2
Since the options are not given, I am giving a general answer.
The correct answer is - 13132, 11623-51, 11100-59, and 11101
CPT, also known as Current Procedural Terminology codes are a terminology used by the entities like doctors, the health insurance companies and other accreditation organizations to report any kind of medical, surgical, or diagnostic procedures and services.
The neck lesion is coded based on its size. After the neck lesion is removed, the pathologist or physician will take 2 biopsies from the cheek which supports the use of CPT® code 11100. The additional code 11101 is used because of the additional biopsy. The modifier -59 is used for the biopsy as the region is bundled inside the excision and a separately identifiable procedure that needs to be performed should be indicated at the same time. In addition, since the pathology report shows that the biopsies were actinic keratosis, the needed code should be used accordingly.
The correct answer is - 13132, 11623-51, 11100-59, and 11101
CPT, also known as Current Procedural Terminology codes are a terminology used by the entities like doctors, the health insurance companies and other accreditation organizations to report any kind of medical, surgical, or diagnostic procedures and services.
The neck lesion is coded based on its size. After the neck lesion is removed, the pathologist or physician will take 2 biopsies from the cheek which supports the use of CPT® code 11100. The additional code 11101 is used because of the additional biopsy. The modifier -59 is used for the biopsy as the region is bundled inside the excision and a separately identifiable procedure that needs to be performed should be indicated at the same time. In addition, since the pathology report shows that the biopsies were actinic keratosis, the needed code should be used accordingly.
Similar questions