Biopsy Coding

Question:

I work at an ENT clinic and my physician is doing biopsies of the soft palate and I’m not sure if this is coded as 11104 or goes under biopsy vestibule of mouth 40808? Thank you so much for your help with this!

Answer:

If the physician is doing a biopsy of the soft palate you should report 42100 (biopsy of palate, uvula.) This CPT code is reported when the physician performs a biopsy on a lesion of the palate or uvula.

*This response is based on the best information available as of 10/10/22.