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caromissunc1 · #1 10-26-2010, 07:19 AM

how would you code for an axillary lipoma? it is over 4 cm and deep, not superficial.

i have tried 11406 with an intermediate or complex closure, doc said no.
hav tried 21556 with no success
have also tried 23076

need ideas. i am fresh out

FTessaBartels · #2 10-26-2010, 10:34 AM

For an accurate response to your coding question, please post the operative note.

F Tessa Bartels, CPC, CEMC

caromissunc1 · #3 10-26-2010, 01:55 PM

Unfortunately, a CPT code for surgical preapproval is needed.
Surgeon has palpated mass to be 4-5 cm.
Does not believe it to be related to lymph nodes at this time.
It is not superficial, and he is leaning towards a lipoma.

FTessaBartels · #4 10-27-2010, 01:40 PM

23076 seems appropriate code for pre-authorization. Lipoma Dx 241.1 does cross-check to this CPT.

Hope that helps.

F Tessa Bartels, CPC, CEMC

rsboggs · #5 11-02-2010, 08:00 AM

I would code this with 24076 excision of tumor soft tissue of upper arm and elbow area deep with the dx 214.1 for the prior auth.