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When billing 21555.......?


Best answers
What closure code (that would pass CCI edits) would you use when the procedure is 21555?


True Blue
Midvale, UT
Best answers
If you read the description of the code it includes the closure
The physician removes a tumor from the soft tissue of the neck or anterior thorax (chest) that is located in the subcutaneous tissue in 21552 or 21555 and in the deep soft tissue, below the fascial plane or within the muscle, in 21554 or 21556. With the proper anesthesia administered, the physician makes an incision in the skin overlying the mass and dissects down to the tumor. The extent of the tumor is identified and a dissection is undertaken all the way around the tumor. A portion of neighboring soft tissue may also be removed to ensure adequate removal of all tumor tissue. A drain may be inserted and the incision is repaired with layers of sutures, staples, or Steri-strips. Report 21555 for excision of subcutaneous tumors whose resected area is less than 3 cm and 21552 for excision of subcutaneous tumors 3 cm or greater. Report 21556 for excision of subfascial or intramuscular tumors whose resected area is less than 5 cm and 21554 for excision of subfascial or intramuscular tumors 5 cm or greater.