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Documentation of medical reason(s) for not including pt category and a statement on thickness, ulceration and mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)

HCPCS code

Similar Codes


ICD10CM codes

Z87.2 - Personal history of diseases of the skin and subcutaneous tissue
Z86.006 - Personal history of melanoma in-situ
Z86.007 - Personal history of in-situ neoplasm of skin
Z85.820 - Personal history of malignant melanoma of skin
Z05.71 - Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
Z12.83 - Encounter for screening for malignant neoplasm of skin
Z04.9 - Encounter for examination and observation for unspecified reason
Z04.8 - Encounter for examination and observation for other specified reasons
L98.496 - Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis
Z85.82 - Personal history of malignant neoplasm of skin

HCPCS codes

G9429 - Documentation of medical reason(s) for not including pt category and a statement on thickness, ulcer
G9428 - Pathology report includes the pt category and a statement on thickness, ulceration and mitotic rate
G9549 - Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadeno
G8876 - Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer pr
G9907 - Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g., limited l
G9904 - Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy,
G9555 - Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple en
G8721 - Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documente
G9196 - Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for a
G9551 - Final reports for imaging studies without an incidentally found lesion noted

CPT4 codes

11101 - Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherw
11103 - Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (L
11102 - Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
11100 - Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherw
11107 - Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/addi
96904 - Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syn
3267F - Pathology report includes pT category, pN category, Gleason score, and statement about margin status
3341F - Mammogram assessment category of negative, documented (RAD)
96999 - Unlisted special dermatological service or procedure
0015F - Melanoma follow up completed (includes assessment of all of the following components) (ML): History