How Do I Code a Lipoma Removal from Neck
Dec02

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)         Find this article useful? Please comment below and share what you just found from this website! Go ahead - please...

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