Forum - Questions & Answers
Uncertain behavior lesion excision
If my physician excises a lesion and the pathologist codes it as uncertain do I use the benign CPT® code or the malignant one when I bill?
re: Uncertain behavior lesion excision
There is a code for uncertain behavior by site on the neoplasm table.
re: Uncertain behavior lesion excision
I'm sorry. I wasn't clear. I need to know which CPT® code to use. Thanks
re: Uncertain behavior lesion excision
Ah. I would be concerned that a pathologist would come back with "uncertain" (pathology). The path report should be your go-to difinitive answer.
re: Uncertain behavior lesion excision
If the diagnosis is uncertain behavior, then you will use the benign excision of lesion CPT® code.
Kim Pollock, RN, MBA, CPC
KarenZupko & Associates, Inc.
www.karenzupko.com
re: Uncertain behavior lesion excision
Thanks for your help!