What action should be taken if a physician removes 16 lesions?

When a physician removes multiple lesions, proper coding depends on the number of lesions removed and guidelines set by the coding standards. In this case, the correct action is to report 11200 for the first 15 lesions and 11201 for the additional lesion.

The code 11200 is used for the removal of one to 15 lesions, while code 11201 is specifically designated for each additional lesion beyond the first 15. Since the physician removed a total of 16 lesions, the first 15 can be covered under 11200, and the 16th lesion is reported separately with 11201. This approach follows the correct hierarchical structure of coding, where the base code encompasses a specific range, and additional codes are used for any extra units that exceed that range.

This method ensures accurate and compliant billing, aligning with the guidelines established by the American Medical Association and other coding authorities.