General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication
Oct13

General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication

General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication EPIGASTRIC HERNIA (OPEN) 49570 Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) 49572 Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated FEMORAL HERNIA (OPEN) 49550 Repair initial femoral hernia, any age; reducible 49553 Repair initial femoral hernia, any age; incarcerated or strangulated 49555… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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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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Coding Incarcerated Ventral Hernia with Mesh and with Partial Omentectomy and Exploratory Laparotomy

How do you perform coding Incarcerated Ventral Hernia with Mesh and with Partial Omentectomy and Exploratory Laparotomy? Look at these codes if these are appropriate based on your surgeon’s operative report: For your coding incarcerated ventral hernia repair ==>> 49561     Repair initial incisional or ventral hernia; incarcerated or strangulated Your Partial Omentectomy code is… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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