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  #1  
Old 10-08-2008, 11:35 AM
cmac cmac is offline
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Default Excision of Sebaceous Cyst

Does anyone know the CPT for an excision of a sebaceuos cyst not sent to pathology? Would it still be the excision of benign lesion codes based on the size? He made an incision and cut the cyst out of the patient's neck.
Any suggestions?
thanks
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Old 10-08-2008, 12:28 PM
Decasa Decasa is offline
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I would use either 10060 or 10061 depending on the complexity. With 706.2 dx.
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Old 10-08-2008, 01:09 PM
noell426 noell426 is offline
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Default Exc of a sebaceous cyst

I agree that the correct CPT would be either 10060 or 10061. However, be careful with diagnosing. According to Medicare, 706.2 is not a payable diagnosis for I&D. Medicare states that "the medical necessity diagnosis code must represent an abcess, not the underlying condition causing the abscess." The supported ICD-9's are as follows: 528.5, 607.2, 680.0-680.9,681.10-681.11, 682.0-682.9, 705.83, and 3611.0.
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Old 10-08-2008, 02:04 PM
smmaxe smmaxe is offline
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If he excised the entire cyst, sac and all contents (not just drained the contents) then i would use the excision of benign lesion codes 11400-11446 depending on the size.
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Old 10-08-2008, 03:00 PM
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mbort mbort is offline
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I would pay very close attention to the depth of the incision. If he took this below the subcutaneous tissue, then you are looking at 21555 and not the benign lesion code series from the integ section.
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Old 10-22-2008, 10:33 PM
MsMaddy MsMaddy is offline
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LOOK UP DESTRUCTION OF A LESION CPT 17000.

MsMaddy
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Old 10-23-2008, 11:35 AM
smmaxe smmaxe is offline
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17000 is destruction of "premalignant" lesion...not a sebaceous cyst. I would use the excision range of codes...depending on the depth as mbort pointed out.



17000-17003 (17000, 17003)

The physician destroys or excises premalignant lesions using a laser, electrosurgery, cryosurgery, chemical treatment, or surgical curettement. Local anesthesia is included. Report 17000 when one lesion is destroyed and 17003 when two to 14 lesions are destroyed.
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Old 10-23-2008, 12:20 PM
magnolia1 magnolia1 is offline
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mbort is correct.

If your documentation does not indicate the depth from which the cyst was removed, you need to query the physician. (Though more than likely, in this case you're code range will be 11420--11426)

In the absence of a Path report, you would be okay with 706.2 if the physician stated that was what was removed.

Karen Maloney, CPC
Data Quality Specialist
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