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cyst vs. tumor

  1. #1
    Default cyst vs. tumor
    Medical Coding Books
    Ihave an op note that states that a very hard, thick sebaceous cyst was excised from the posterior chest wall. The dr wants to use 21930 but I am leaning toward 11406. The word tumor sorta throws me off. Any thoughts on this one?

    Thanks in advance,
    Darlene Britton, CPC

  2. #2
    Default
    What does the path state? If it states it was a cyst then I would use the 11xxx codes. If it is a lipoma, then the muscoskeletal codes would be appropriate.
    Last edited by bethh05; 02-10-2009 at 12:15 PM.

  3. #3
    Default
    I AGREE.

    base the coding on the path since that is confirmation of malignancy(21930) or benign(114xx)

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Can you post the note
    Can you post the note? If he is going beneath the subq you definitely want to use a code other than from the integumentary section.

    21930 is not restricted to only malignant tumors.

    F Tessa Bartels, CPC, CEMC

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