What is the description for CPT code 11400?
CPT® Code 11400 in section: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs.
What is the CPT code for excision lesion 2.0 cm leg?
11402 – excised diameter 1.1 to 2.0 cm.
Does CPT code 11400 need a modifier?
Coding Information 11400 is mutually exclusive to the 17110 which documentation of both procedures will support reporting both codes with the appropriate modifier. According to CMS, there must be a NCCI procedure to procedure (PTP) edits, which in this case there is, to require a modifier. Otherwise it is not needed.
How do you bill for lesion removal?
CPT codes 11400-11446 should be used when the excision is a full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure. The provider should use the appropriate CPT code and the diagnosis code should match the CPT code.
Does Medicare pay for lesion removal?
Benign skin lesions are common in the elderly and are frequently removed at the patient’s request to improve appearance. Removals of certain benign skin lesions that do not pose a threat to health or function are considered cosmetic, and as such, are not covered by the Medicare program.
What is the difference between 56501 and 56515?
If the ob-gyn destroys two small lesions, you would usually report 56501. But if he destroys two invasive lesions, the physician might consider this extensive and use 56515. Generally, however, destroying more than three lesions places you in the extensive range, and you would submit 56515.
How do I bill CPT 17000?
CPT code 17000 should be reported with one unit of service for destruction of the first lesion; CPT code 17003 should be reported with the units equal to the number of additional lesions from 2 through 14; 17004 should be reported with one unit of service, representing 15 or more lesions and should not be used with …
How do you bill skin excision?
You can bill item 31340 where treatment for a skin malignancy requires the excision of muscle, bone or cartilage. It must also be covered by one of these base items: 31000 to 31005. 31356.
How do you bill excision?
A primary excision should be billed based on the largest diameter of the lesion plus the narrowest lateral margins. For example, a round 4 mm lesion placed centrally in an 8 mm punch has a lesion diameter of 4 mm and 2 mm margins all around.
What is the difference between shave biopsy and shave excision?
It’s really quite simple. Carefully review the definition of a shave removal. The wording simply states, “removal.” That means the lesion was removed by shaving. A biopsy is when only a portion of a lesion, tissue, or skin is removed in order to obtain a diagnosis.
Does 17000 need a modifier?
Modifier (-59) is used to alert the payer that the services are not related to the biopsy also performed on the same date. The 17000 code is separated from the biopsy charge and is the primary code for the 17003 CPT code so no additional modifier is needed for the charges to process.
How do you calculate excision size?
To calculate the excised diameter, you should begin with the size of the lesion (2 cm) and add the width of the narrowest margin multiplied by 2 (1.5 x 2, or 3 cm total) for a total of 5 cm (2 + 3 = 5).
How do you code re excision?
Use only one code to report the additional excision and re-excision (s) based on the final widest excised diameter required for complete tumor removal at the same operative session. To report a re-excision procedure performed to widen margins at a subsequent operative session, see codes 11600-11646, as appropriate.
What is the global period for Procedure Code 11400?
Procedure code and description 11400- Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 0.5 cm or less – average fee payment – $130 – $140 11401 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 0.6 to…
What are factors of 11400?
Factors of 11400 are 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 19, 20, 24, 25, 30, 38, 40, 50, 57, 60, 75, 76, 95, 100, 114, 120, 150, 152, 190, 200, 228, 285, 300, 380, 456, 475, 570, 600, 760, 950, 1140, 1425, 1900, 2280, 2850, 3800, 5700. There are 47 integers that are factors of 11400. The biggest factor of 11400 is 5700.
What is the CPT code for destruction of warts?
The lesion has one or more of the following characteristics: Bleeding.
How to look up CPT codes for free?
– Do a CPT code search on the American Medical Association website. – Contact your doctor’s office and ask them to help you match CPT codes and services. – Contact your payer’s billing personnel and ask them to help you. – Remember that some codes may be bundled but can be looked up in the same way.