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Wiki Please help coding Exc.Flank Mass

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Hi - Wondering if someone would help with coding the following: Excision of 6cm deep subcu. right flank mass with layered closure DX: Lipoma (Also, Doc.Wants to bill an office visit with this? Not sure-about that either)
Thanks for your help
Deb, CPC
 
I'd need a bit more info before being able to help with codes. Need to see the dictation to determine if both can be coded...and what "exactly" was done.
 
closure

I would use 21930 and a layered closure from 12031-12057 category (size matters :) with 214.1. If this is the first time the provider has examined the mass and made the decision on this date to excise it -you can bill the E&M with a -25. Assuming this was all done in the office not in the OR.

Lynn Ring
 
I would only use 21930. Per the coders desk reference this code includes layer closure with sutures, staples or steri-strips.
 
I agree with Heather, just the 21930. Depth does not matter with this code and as Heather mentioned, it would include the closure.

Mary, CPC, COSC
 
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