Practice Quiz

Insurance and Medical Coding Test Prep

Category - Free Coding Specialist Practice Test

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A physician biopsied the skin on a 30-year-old woman’s upper eyelid, with a possible fungal infection. Three sites were biopsied. How should the physician code for this procedure?
  1. 11100, 11101 (X2)
  2. 11100 (X3)
  3. 11100, 67810
  4. 67810
Explanation
Answer: A - The physician should code for this procedure using codes: 11000 (Biopsy of Skin, Subcutaneous Tissue and/or Mucous Membrane) and 11001 (X2) (Each Additional Lesion).The physician biopsied three sites, therefore three biopsy codes should be listed on the claim. Code 67810 (Incisional Biopsy of the Eyelid Skin including Lid Margin) is not the correct code because the biopsy is for the skin of the eyelid, instead of an incisional biopsy of the eyelid.
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