How Do I Code a Lipoma Removal from Neck

Here’s a Question from one of my readers:

– Subscriber from Michigan

My provider removed a lipoma from his patient’s neck “intramuscular, below fascia, subcutaneous soft tissue size 3.5 cm” the op report says.

How Do I Code a Lipoma Removal from the Neck?

 

 

  First thing first, read the Operative Report as well as the Pathology Report: Keyword(s): (possible keyword to look for) – Full Thickness(up to the upper layers of the dermis or through the dermis) Incision; look at codes below:

For your BENIGN LESIONS:

 

11420 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less 11421 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm 11422 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm 11423 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm 11424 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm 11426 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cmpayable. Global 90 Days      

 

 

 For MALIGNANT LESIONS:

11620 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less

11621 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm

11622 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm

11623 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm

11624 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm

11626 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm

Keyword(s): (Deep Soft tissue mass, Subcutaneous, Intramuscular, below fascia, tumor)

So with your question How Do I Code a Lipoma Removal …

you might want to look at CPT Codes under the Musculoskeletal Codes 

21555 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm

21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; →3 cm or greater ←

21556 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm

Global 90 Days

References: CPT Code book 2012-2015, NCCI Policy Manual for Medicare Services Chapter 3 and 4 (2014, 2015)

 

 

 

 

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Author: Pinky Maniri

Ms. Pinky, as she is fondly called - is a Reputable Professional Consultant and Expert in Practice Administration, Medical Billing, Coding, Health Information Technology, Insurance Credentialing and Compliance for Physician Offices. Well-educated with a Degree in Computer Systems Engineering and a background in Clinical Nursing and Small Business Management. Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies. Read More About Ms. Pinky here and See what Other's say about her Expertise Testimonials

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