CPT codes 11100 and 11101 Skin Biopsies deleted in 2019

December 21st, 2019

For many years these two codes have been used to report skin biopsies.  CPT code 11100 for the first lesion and CPT code 11101 for each additional lesion on the same date of service. These codes included all methods of removal. The following new codes are to be used on claims with dates of service of January 1, 2019 or later:  

These codes specify the method of removal for greater specificity in reporting: 

11102 - Tangential Biopsy of skin (e.g. shave,  scoop, saucerize, curette), single lesion
11103 - Tangential Biopsy each separate/additional lesion on the same date of service

11104 - Punch Biopsy of skin (including simple closure, when performed) single lesion
11105 - Punch Biopsy each separate/addition lesion on the same date of service

11106 - Incisional biopsy of skin (e.g. wedge including simple closure when performed) single lesion
11107 - Incisional Biopsy each separate/addition lesion on the same date of service

What's next?

You need to add these procedure codes to your procedure library with TOS of 2 with a Usual & Customary fee.   

How do I get the Medicare fees for these codes?

When the Medicare fee Schedule is updated, only codes that are currently entered in your procedure library will be updated. Therefore these newly added codes will not have the Medicare Fees updated.  After you have added the new codes to your procedure library, you should  Update your Medicare Fees .  This will update your Medicare fees for the new codes that you added have just added to your library.