This is usually not a billable service. Colonoscopy services are assigned a “000-day” global period. Chapter 6 of the National Correct Coding Initiative manual states, “If a procedure has a global period of 000 or 010 days, it is defined as a minor surgical procedure. The decision to perform a minor surgical procedure is included in the payment for the minor surgical procedure and should not be reported separately as an E/M service. However, a significant and separately identifiable E/M service unrelated to the decision to perform the minor surgical procedure is separately reportable with modifier 25.”

An office visit might be reported if, in the usual pre-procedure work, the physician uncovers a diagnostic reason for the colonoscopy or an indication that precludes performing the procedure.

Yes. Code 11100 may be reported for a single or first biopsy, regardless of size. However, you should always consider location. If a punch biopsy is taken of certain areas, such as the lip (40490), external ear (69100) or eyelid (67810), it is appropriate to report the code for that specific body area.

The wound repair codes typically have a 10-day global period, so the follow-up services you describe are not reimbursable. Most payers will deny any related services during the global period except those involving a complication that requires a visit to the operating room.

Yes. CPT does not provide a specific code for destruction of suprapubic lesions. Code 17110 (“Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions”) would be used to report destruction of up to 14 lesions. If the physician's service includes destruction of 15 or more lesions, report code 17111.