CPT Codes

***Let pt know Code may change depending on Physician’s exam

during visit***

BIOPSY
11102 Biopsy tangential

11103 Biopsy tangential

11755 Nail biopsy

40490 Lip biopsy

54100 Penis biopsy

56605 Vulva or Perineum biopsy

56606 Vulva or Perineum biopsy (additional)

67810 Eyelid biopsy

69100 External ear biopsy

Miscellaneous Codes

ILK (kenalog) INJECTIONS 11900,11900 & J3301

DESTRUCTION OF AKs (actinic keratosis) 17000-17004
DESTRUCTION OF VVs (verruca vulgaris)17110-17111

EXCISIONS: ICD 10 D48.5

TRUNK, ARMS, LEGS
Lesion size Shave Benign Malignant Dest. Malignant

<0.5 - >4.0cm 11300-11303 11400-11406 11600-11606 17260-17266

SCALP, NECK, HANDS, FEET, GENITALIA

Lesion size Shave Benign Malignant Dest. Malignant

<0.5 - >4.0cm 11305-11308 11420-11426 11620-11626 1720-17276

FACE, EARS, EYELID, NOSE, LIPS, MUCUS MEMBRANE

Lesion size Shave Benign Malignant Dest. Malign

<0.5 - >4.0cm 11310-11313 11440-11446 11640-11646 17280-17286

EXC/ MOHS COMPLEX REPAIRS

Lesions size Trunk Scalp, Arms, Legs Forehead, Cheek,
Chin, Mouth, Neck,
Axilla, Genitalia, Feet,
Hands

1.1cm - 7.5cm 13100 13120-13121 13131-13131

-13101

Each addt’l 5 cm 13102 13122 13133

Lesion Size Eyelids, Ear, Lips, Nose

1.0 cm - 7.5 cm 13150-13152

Each Addt’l 5cm 13153

EXCISIONS AND MOHS SUMMARY

STEP 1:
ICD 10 CODE:
For BENIGN and Pre - Malignant lesions: D48.5
(ex: dysplastic nevus, cyst, DF, most biopsies)

For MALIGNANT lesions:

BCC C44. 91
SCC C44. 92
MMIS D03. 39
MELANOMA C43. 9

STEP 2

Mohs
17311 - Head, neck, hands, feet, genitals, deep tissue; 1st layer
17312 - Next layer as above, list separately for each layer
17313 - Mohs rest of body, 1st layer
17314 - Next layer as above, list separately each layer
17315 - Tissue blocks >5 for any stage, list separately

Benign Excision
Trunk, arms, legs - 11400 to 11406
Scalp, neck, hands & feet, genitalia - 11420 to 11426
Face, ears, eyelids, nose, lips, mucous membrane - 11440 to 11446

Malignant Excision
Trunk, arms, legs - 11600 to 11606
Scalp, neck, hands & feet, genitalia - 11620 to 11626
Face, ears, eyelids, nose, lips, mucous membrane - 11640 to 11646

Step 3: Repair CPT Code (the closure)

FOR EXC COMPLEX REPAIR:
 Lesions size Trunk Scalp, Arms, Forehead,
Legs Cheek, Chin,
Mouth, Neck,
Axilla,
Genitalia,
Feet, Hands

1.1cm - 13100 13120-13121 13131-13131

7.5cm -13101

Each addt’l 5 13102 13122 13133

cm

Lesion Size Eyelids, Ear, Lips, Nose

1.0 cm - 7.5 cm 13150-13152

Each Addt’l 5cm 13153

FOR MOHS:

Adjacent Tissue Transfer (≤10 cm2 & 10.1-30 cm2)

Trunk: 14000 & 14001
Scalp,arm,leg: 14020 & 14021
F.head, cheek, chin, mouth, neck, axilla, genitalia, H&F: 14040 &
14041
Eyelid, nose, ear, lip: 14060 & 14061
Any site > 30 cm2: 14300

Grafts (≤20 cm2 & each add'l 20 cm2)

Trunk: 15200 & 15201
Scalp, arm, leg: 15220 & 15221
F.head, cheek, chin, mouth, neck, axilla, genitalia, H&F: 15240 &
15241
Eyelid, nose, ear, lip: 15260 & 15261
Composite: 15760