Practice Quiz

Medical Coding

Category - 10,000 Series

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The physician performed the excision of two 1.5 cm malignant lesions on a patient’s upper back. During the surgery, the physician noted four additional lesions, which looked to be pre-malignant. These lesion excisions were 0.3, 0.7, 1.0, and 1.45 cm, respectively. The suspect lesions were sent to pathology lab, where they were determined to be benign. What are the appropriate codes for the service?
  1. 11400 (X4), 11602 (X2)
  2. 11400, 11401 (X2), 11402
  3. 11404, 11603
  4. 11400, 11401 (X2), 11402, 11602 (X2)
Explanation
Answer: D - The appropriate codes for the service are: 11400, for the excision of the 0.3 cm benign lesion, 11401 (X2) for the excision of both 0.7 and 1.0 benign lesions, 11402 for the excision of the 1.45 cm benign lesion, and 11602 (X2) for the excision of both of the 1.5 cm malignant lesions. CPT coding guidelines state that each malignant/benign lesion excised needs to be reported separately; therefore each lesion removal needs to be coded separately.
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