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The table below lists the many lesion and tumor excision coding options that exist with the 2010 CPT code changes. Although Medicare payment varies for the various skin and soft tissue lesion excision codes, you should focus on documenting, coding and billing these cases appropriately regardless of the payor and reimbursement. While the CPT 2010 code book contains many new codes and guidelines for the excision of lesions located beneath the dermis of the skin, the coding of skin lesions hasn't changed. Per the note above code 11400 in the code book, integumentary system codes 11400 to 11646 are still used for the "full-thickness (through the dermis) removal of a lesion."
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