How Do I Bill for a Lipoma Removed from the Patient Neck

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Reader’s Question: Pam from SC

How Do I Bill for Lipoma Removed from the Patient’s Neck?

 

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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:

CPT Code 11420 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
CPT Code 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
CPT Code 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
CPT Code 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
CPT Code 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
CPT Code 11426 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm

Global 90 Days

For MALIGNANT LESIONS:

CPT Code 11620 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
CPT Code 11621 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
CPT Code 11622 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
CPT Code 11623 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
CPT Code 11624 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
CPT Code 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)

You might want to look at CPT Codes under the Musculoskeletal Codes:

CPT Code 21555 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm
CPT Code 21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater
CPT Code 21556 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm

Global 90 Days

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Posted by (Questions: 20, Answers: 27)
Answered on 11:47 pm