Sebaceous cyst excision

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Help! We are having a disagreemtn with coding.

Dr wrote in procedure note; excision sebaceous cyst 3cm x 3 cm and 5 cm deep left forearm. No path, No sutures, (used steri strips), no drainage no complications. What procedure code: 24071 or 10040???
 

nader

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Help! We are having a disagreemtn with coding.

Dr wrote in procedure note; excision sebaceous cyst 3cm x 3 cm and 5 cm deep left forearm. No path, No sutures, (used steri strips), no drainage no complications. What procedure code: 24071 or 10040???
I am thinking 11406, as i find it unusual to close a "deep" excision with just steri-strips.
And my concept of thinking is that a sebaceous cyst is not a "tumor"
Can someone clarify that with me, as i am in the process of having coding issues with a surgeon also. As he is classifying every sebaceous cyst as a tumor.
 

Lujanwj

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I like 11400 series as well per Dr stating "excision". CPT guidelines for Excision -Benign lesion states "Cystic Lesions" which would cover a sebaceous cyst. A sebaceous cyst can only be a skin lesion as it comes from the sebaceous gland which is in the skin

Tabers:
Sebaceous cyst: A cyst filled with sebum from the distended sebaceous gland.
Sebaceous gland: An oil-secreting gland of the skin.

Good Luck!
 
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