also since the question in the CPT assistant that I posted previously, specifically states FLANK and that was the AMA's answer, I would tend to follow the AMA guides.
So it looks like this is one of those "gray areas" where you get to pick your poison. (Dorland's just says "the part of the body below the ribs and above the ilium")
Whoops - didn't see the last post b/4 replying - but the question we were all responding to specifically said the buttock - had it said the flank, there could be no question which code to use.
My doc excised a buttocks lipoma and chose the pelvis/hip code over the back/flank code. When I read the CPT Assistant's answer, it sounds like they used buttocks only as an example of where a lipoma might lie in a compressed area (vs bony prominences), not as a definitive example of a back/flank lipoma. The definition of flank includes the "outer side" of the thigh, hip, and buttocks. My question would be what would you code the "inner side" of the thigh, hip and buttocks? I think since there's a specific code for thighs & hips, you wouldn't necessarily default to the back/flank code, you'd use the thigh & hip codes for lipomas in those specific areas. Since the buttocks is on the posterior of the pelvis, & if the lipoma isn't on the "outer side" of the buttocks, I'd feel more comfortable coding it as a pelvis/hip tumor. Since it's a grey area, does anyone think this argument would hold water if I had to defend the doc's and my choice?
Originally Posted by mbort
Sue Vermette, CPC