Internal Medicine Coding Skin Biopsy Timing Location Intent

Have you aware when to report skin biopsy separately with or in place of other procedures such as shaving or excision If not, read on and get out Normally, you may report skin biopsy separately when the biopsy occurs at a separate location from an excision or other removal or when final results of the biopsy prompt the more extensive removal by excision or other method. For example, but if your internist excises a lesion on the right hand of the patient and biopsies a different lesion either on the right hand or elsewhere on the body, the excision and biopsy are separate.

Add modifier Distinct procedural service to the biopsy code to indicate in which it occurred at a different location from the excision. Remember Biopsy is a standard practice when removing skin lesions. In most instances, you’d not report biopsy of the same lesion separately with an excision or other extraction. In patriot power greens , the internist takes a biopsy by shave technique and submits the sample to pathology for examination. The results show a malignant lesion, which your internist then removes in its entirety, with margins, by excision.

In this instance, the biopsy and excision are again separate as the biopsy led to when for the excision. While coding, add modifier staged or related procedure or service by the same doctor during the postoperative period to the excision code to show this kind of was a staged procedure following the biopsy. Since has global days, the only time this is a question is when a frozen section is done along with the biopsy and treatment are performed on the same day.

Key Your doctor’s intent has a lot comprehensive with distinguishing between a biopsy and removal by shaving, excision, or some other method. The AMA has stressed this point, praoclaiming that the intent of a biopsy is to remove a portion of skin, suspect lesion or entire lesion so that may perhaps possibly be examined pathologically. In comparison, the intent of other integumentary procedures which entail removal of tissue has evolved. Normally, they are carried out for the intent of removing the entire sore. Since physicians often use the terms “biopsy” and “excision” interchangeably, you may find questioning your physician on those claims useful when the terminology and intent are not clear.