jodielonkoski
Contributor
Hello! I am an outpatient anesthesia coder; we work with a lot of ortho centers, and I see a lot of 'soft tissue mass' diagnosis. Since we only code the anesthesia we don't often get the path report, but I do get the OP report. When the provider documents a 'mass' alone I use an R22 code, when they specify the mass is in the soft tissue, I am unsure if that R code would still be best, or if I should use M79.89 - Other specified soft tissue disorders.
Occasionally in the OP report the provider will specify the type of mass, but often it is unsure until the path comes back, which we do not get.
Any advice on which code you would pick would be helpful!
Occasionally in the OP report the provider will specify the type of mass, but often it is unsure until the path comes back, which we do not get.
Any advice on which code you would pick would be helpful!