integumentary vs. muskuloskeletal

jk2003

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You can bill from the musculoskeletal section if a code supports the locality. Sometimes if the closure is complex you get a higher reimbursement billing from the 10000 section for both the removal and closure. Again, it all depends on what is documented.
 

Lujanwj

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With the exception of Melanoma, most everything that end in the suffix of -oma (Tumor) will fall under Musc/Skel. The most important thing is the site of origin. If the -oma originates from anything other than Skin, it will be Musc/Skel. If it starts in the skin and works it's way down, as with Melanomas, you will code skin and whatever layered closure that is done.

In your case, Lipoma (fatty TUMOR) originates from under the skin and is a Musc/Skel code based on depth (subcu v subfascia) and size (<5 v >5).

Good Luck!
 

Mklaubauf

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There is a good reference from CPT Assistant January 2011/Volume 21 Issue 1 that talks about sebaceous cyst. An epidermal cyst should be coded to skin as it originates in the dermis(skin).

The above article talks about sebaceous cyst that are excised from the skin and subq tissue. Again these tumors originate from the dermis and are not considered soft tissue, even though they may protrude into subq. tissue.

Hope that helps,

Marci, CPC
 
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