Wiki removal with surgitron

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kdm

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How would you code the removal of a 1cm lesion from the tongue with surgitron. The 11300's doesn't seem correct because it doesn't say "tongue" but the 41100 says excison. Are would this be coded. I appreciate you help. Thanks kim
 
No, there was no closure. Removal by surgitron. That's not an excison as far as I know. Kim
 
Surgitron replaces the traditional scapel/knife, the lesion is still being removed without closure; I would feel comfortable with using CPT 41110. Looking at the ICD9CM Procedural, they describe the procedure as excision or destruction of lesion or tongue tissue. Unfortunately, CPT cannot keep up with modern technology and falls short of meeting the needs of precision coding, remember, coding is not alway black and white, yes, there are the "unlisted" procedure codes, but truly, this is a judgment call, and as I stated, I could back up my decision in using CPT 41110.

Jennifer
CT ENT
 
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