AAPC - Back to school
Results 1 to 5 of 5

Thread: Excision malig. melanoma 11640 vs 27615

  1. #1

    Default Excision malig. melanoma 11640 vs 27615

    AAPC: Back to School
    I seem to run into this alot. Wide local excision of maligant melanoma of left leg. I have trouble between the 11640 codes with layered closure and the 27615 code. I see this alot and the Dr. always want the 27615 code. His op notes read: Both were excised after delineating
    an elliptical incision around both with adequate gross margins. The areas
    were then infiltrated and taken with a knife down to the fascia with
    excisions measuring 2 x 1 cm proximally and 4 x 3 cm distally. Both sites
    were closed in a multiple layer fashion with 3-0 PDS and dressings were
    applied including Xeroform.

    Thank you for your help

  2. #2
    Join Date
    Apr 2007


    because he is taking it down to the fascia, I believe the 27615 code is the correct code.

    Its important to look at the depth of the incision/excision as they are not always going to be from the integ section.

  3. #3


    Thank you, that's what I was thinking.

  4. #4


    I could be wrong in my thinking, but unless he went into the muscle/fascia, I would stick with the skin/subcutaneous codes. According to this documentation, he's only going down to the fascia (unless I'm missing something). Again, I might be a little too conservative.


  5. #5
    Join Date
    Apr 2007


    The 27615 is for soft tissue. The other alternative is 27618 which is sub-q.

    You read it correctly Treetoad..it is only "down to" the fascia so it still qualifies for a code outside the integ section.

Similar Threads

  1. Biopsy vs Malig Excision vs Hyfrecation
    By KimBest in forum Family Practice
    Replies: 0
    Last Post: 10-15-2014, 11:23 AM
  2. Melanoma of the breast, excision
    By robynmcginnis in forum General Surgery
    Replies: 1
    Last Post: 06-06-2014, 07:20 AM
  3. Excision of thyroid path malig
    By carol52 in forum General Surgery
    Replies: 0
    Last Post: 08-20-2012, 10:53 AM
  4. Re-excision malignant melanoma
    By ERINEILEEN73 in forum Dermatology
    Replies: 2
    Last Post: 05-23-2012, 01:24 PM
  5. Coding excision malig lesions
    By donnar in forum General Surgery
    Replies: 4
    Last Post: 01-29-2009, 04:31 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.