AAPC Certified Professional Coder (CPC) — Question 48

Mr. Woolridge has had a suspicious lesion on his left shoulder for approximately eight weeks that is not healing. On the dermatologist's exam of left shoulder blade, there is excoriation and scabbing and the lesion not healing. Patient agrees and wishes to proceed with a punch biopsy of the lesion. A punch biopsy is taken of the lesion and sent to pathology. A simple repair is performed at the biopsy site.
What CPT® and ICD-10-CM codes are reported?

Answer options

• A. 11102, 12001-51, D49.2
• B. 11102, L98.9
• C. 11104, D49.2
• D. 11104,12001-51, L98.9

Correct answer: C

Explanation

The correct answer is C because CPT code 11104 is appropriate for a punch biopsy of a lesion, and D49.2 is the correct ICD-10-CM code for a neoplasm of unspecified behavior. Options A and D include incorrect codes for the procedure or additional unnecessary repairs, while option B lacks the correct diagnosis code for the lesion.