Coding guidance on reporting lesion treatment services with histopathological examination
Dermatologists have notified the Academy coding team that they have experienced payer reimbursement challenges on claims submitted for Shaving of epidermal or dermal lesions, as well as excision or destruction of cutaneous lesions for which histopathologic examination is separately performed. Specifically, some payers have misinterpreted the coding guidance resulting in these services being bundled.
To ensure correct coding guidance, the AAD in collaboration with the American Medical Association CPT Assistant Editorial Board (CPTA) published the following CPT Assistant coding guidance. Access the PDFs by selecting below.
Coding Brief: Reporting Shaving of Epidermal or Dermal Lesions and Histopathologic Examination
Coding Brief: Reporting Excision or Destruction of Cutaneous Lesions and Histopathologic Examination
Used with permission of the American Medical Association. CPT Assistant, June 2021 © Copyright American Medical Association 2021. All rights reserved.
