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Wiki Excision axilla

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An incision was made in the axilla. It ended up to be a lipoma. If I use the integumentary codes with a layered close, Palmetto Medicare will deny the service. Would it be ok to use the 19120 even though it was not excised directly from the breast. Can't get any of the lumps and bumps paid with Medicare. Even if the patient is having pain they don't pay. Appeals do not work. We know that the patient needs to sign the ABN, but it makes it difficult because of the cost to have these lesions removed, especially if they are sent to a surgery center.
 
for excision of lipomas from the axilla, we use 21555/21556, neck/thorax, as this includes the axilla.
 
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