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20240 vs 11040

Amy Posted Wed 16th of October, 2019 02:34:00 AM
Can we code 20240 and 11040 both together for same site. if we dont code both together which one we can code. please advise.
SuperCoder Answered Thu 17th of October, 2019 02:34:57 AM

Hello Amy,

Thank you for your question.


As per the above documentation, CPT® code 11040 is not an active code. This code was deleted on 1st Jan 2011.

To know more about the code edits and coding guideline, please provide us with the appropriate code.



Amy Posted Thu 17th of October, 2019 20:28:55 PM
not 11040, 20240 vs 11400.
SuperCoder Answered Fri 18th of October, 2019 04:59:51 AM

Hello Amy,

Thank you for additional information.


There are no bundling conflicts between both the CPT® codes (20240 and 11400).


According to National Correct Coding Initiative (CCI) guidelines, because the surgeon couldn’t proceed with the excision until he knew the results of the biopsy, you can report both codes.


However, we seek certain clarity on below:

  • Where were the lesion(s), for which excision and biopsy were performed?
  • If the excised lesion is at skin level, then what was the need to perform bone biopsy?
  • Were there two separate lesions 1st being at skin level and 2nd lesion being at bone level?


Please feel free to write if you have any further question.


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