Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > General Surgery
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 11-28-2007, 12:48 PM
sheffner1 sheffner1 is offline
Contributor
 
Join Date: Apr 2007
Posts: 19
sheffner1 is on a distinguished road
Question Coding soft tissue mass

Can someone please let me know how you would code a soft tissue mass of any site? We are in disagreement here about which code to use.

Thank you so much
Shannon
Reply With Quote
  #2  
Old 11-28-2007, 02:29 PM
kevbshields kevbshields is offline
True Blue
 
Join Date: Apr 2007
Location: Louisville, KY
Posts: 1,092
kevbshields will become famous soon enough
Default

According to the CPC-H Exam Study Guide, those are coded as excisions by site; what this means is that a patient has a lipoma excised from his/her shoulder, the code would be 23075-6--depending on the depth described in the op report.

I usually go by location (in the op); if it's on a tendon sheath, it should be coded to that site, tendon sheath (if code is available).
__________________
Kevin B. Shields, RHIT, CPCO, CCS, CPC, CCS-P, CPC-H, CPC-P, CPC-I
Reply With Quote
  #3  
Old 12-04-2007, 01:08 PM
sheffner1 sheffner1 is offline
Contributor
 
Join Date: Apr 2007
Posts: 19
sheffner1 is on a distinguished road
Default

Thank you for the reply, it is very helpful. My question is also the diagnosis code. My coworker wants to code them as a benign neoplasm, but the encoder and ICD-9 book guides me to disorder of skin. Any ideas?
Reply With Quote
  #4  
Old 12-04-2007, 01:54 PM
kevbshields kevbshields is offline
True Blue
 
Join Date: Apr 2007
Location: Louisville, KY
Posts: 1,092
kevbshields will become famous soon enough
Default

I don't trust encoders at all . . .

As for your ICD-9, you'll need the Path report to know the appropriate code assignment in ICD and probably to help you determine that in CPT.

Hope this helps.
__________________
Kevin B. Shields, RHIT, CPCO, CCS, CPC, CCS-P, CPC-H, CPC-P, CPC-I
Reply With Quote
  #5  
Old 02-06-2008, 03:21 PM
cmartin cmartin is offline
Guru
 
Join Date: Apr 2007
Posts: 204
cmartin is on a distinguished road
Default

Sometimes use 729.9 or 729.89
C.Martin,CPC-GENSG
Reply With Quote
  #6  
Old 02-07-2008, 06:33 AM
mmelcam's Avatar
mmelcam mmelcam is offline
Expert
 
Join Date: Apr 2007
Location: St. Louis, Missouri
Posts: 259
mmelcam is on a distinguished road
Default

If you look under mass in the ICD9 book and look under specified organ NEC-it says to see disease of the specified organ or site.
__________________

Melissa Blow, CPC
Reply With Quote
  #7  
Old 02-27-2008, 02:52 PM
doley wegener doley wegener is offline
New
 
Join Date: Apr 2007
Posts: 1
doley wegener is on a distinguished road
Default Cpc-a

Try 21930 -21935 Excision, Tumor, Soft Tissue,back Or Flank.
Reply With Quote
  #8  
Old 02-28-2008, 06:31 AM
JHURST JHURST is offline
Contributor
 
Join Date: Apr 2007
Location: SUFFOLK, VIRGINIA
Posts: 21
JHURST is on a distinguished road
Default

in pediatric general surgery we see a lot of soft tissue masses and we use 729.9 unless we get a pathology report back with a specific diagnosis.
Reply With Quote
  #9  
Old 02-29-2008, 02:53 PM
mbort's Avatar
mbort mbort is offline
True Blue
 
Join Date: Apr 2007
Location: ENGLEWOOD/DENVER
Posts: 2,333
mbort is on a distinguished road
Default

I would definitely get the path report before assigning a dx code. The goal is to be as specific as possible.
Reply With Quote
  #10  
Old 03-13-2008, 12:22 PM
cmartin cmartin is offline
Guru
 
Join Date: Apr 2007
Posts: 204
cmartin is on a distinguished road
Default

The secretaries here are always needing codes in order to precert, so no possibility of getting path first for those - hence 729.89 & 729.9
Connie Martin CPC-GENSG
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:45 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC