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Wiki Excision Excess Skin

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hpatzke

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Clarksville, TN
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My general surgeon performed a wide excision of an axilla lipoma with removal of excess skin. He states " the lipoma was very large and deep, so I had to made a skin flap and I removed the lipoma in its entirety. Since she had too much excess skin, I had to do a removal of excess skin."


I know how to code the lipoma excision, however excess skin removal is new to me.

Is this even seperately billable? If so, can someone point me in the right direction. I found CPT 15839- Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area. However, I am not sure if this would be the appropriate CPT.

Any help would be greatly appreciated.

Thank you in advance,

Heather
 
Your code is correct and you can bill for it but I believe most payers will deny it (at least initially) as a cosmetic procedure.
 
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