Results 1 to 10 of 10

Thread: Lipoma Coding

  1. #1

    Default Lipoma Coding

    Hey Just wondering if someone would be able to help with
    coding the following: Exc. 2 cm mass of the chest -doc.says layered closure Pathology:Lipoma

    Thinking it would be 11402 and 12031 is this right? Thanks for your help
    Deb Hopp,CPC

  2. #2

    Wink Lipoma

    Yes, this is correct. Denise

  3. #3

    Default

    Thank you Denise for your help - Deb,CPC

  4. #4

    Default

    What about 21555? In my coding companion it lists lipoma as an acceptable dx and it has a higher RVU than the other two codes above combined.

    It does have a 90 day global versus 10 days for the integumentary codes, though.

    I was encouraged to use the "tumor" removal codes for lipomas (fatty tumors) in an old General Surgery Coding Alert. They indicated, since lipomas are usually found in the subcutaneous tissue, not the skin, the musculoskeletal section of the CPT book is the place to look.

    Anyone else have thoughts on which is the more correct code to use?

  5. #5
    Join Date
    Apr 2007
    Location
    Johnson City
    Posts
    201

    Default

    Lesion removal codes 11400-11446 are for excision of lesions through the dermis only. Lipomas are located in the subcutaneous tissue, so they should be coded from the Musculoskeletal section. I agree with (Jarts) code 21555 is appropriate.

    Melissa-CPC

  6. #6
    Join Date
    Apr 2007
    Posts
    10

    Wink Lipomas--Help Me!!

    I need help coding Lipomas.
    Where can I find documentation explaining the difference between the 114 procedure codes and the 2XX(Muscle) codes.

    I remember some time ago that Coding Edge had an article about Coding for Lipomas, but don't remember what month.

    Thanks for all your help, Freda

  7. #7

    Default Part B Insider, Vol.8 (Coding Institute)

    Just an example and hope it helps and agree w/ Jarts


    Although musculoskeletal codes offer increased pay for more complicated, deeper excisions, some exceptions may apply, says Lisa Center, CPC, physician billing certified professional coder with Mt. Carmel Regional Medical Center in Pittsburg, KS.

    Example: A patient presents to your practice with a 2-cm lipoma on his forehead that appears to lie under the frontalis muscle.

    Take note: If your physician performs a lipoma excision in the flank, you should report 21930 (Excision, tumor, soft tissue of back or flank) because lipomas typically develop in the subcutaneous tissue beneath the skin. Code 21930 will pay you about $420.

    This general principle does not apply to lipomas on the face or forehead, however, because in such instances the skin is so close to the bone, Center says.

    For the instance above, the only facial musculo-skeletal excision code, other than those involving bone, is 21015 (Radical resection of tumor [e.g., malignant neoplasm], soft tissue of face or scalp). But because the physician did not perform a radical resection, you should not report 21015.

    So, you should bill 11442 (Excision, other benign lesion, face ...; excised diameter 1.1 to 2.0 cm) for the lipoma excision on the patient’s forehead, which will pay you $170. Although the payment amount is undeniably less, all experts agree that you should only report the code that best describes what your physician documents

  8. #8
    Join Date
    Apr 2007
    Posts
    10

    Smile Lipomas

    Thank you, Freda

  9. #9
    Join Date
    Apr 2007
    Location
    Locust Grove, GA
    Posts
    11

    Default

    Quote Originally Posted by fcallahan View Post
    Thank you, Freda


    Don't forget to consider the closure. was it simple or complex depending on the documentation?

  10. #10

    Default

    Would you agree now that we could charge codes 21011-21014 for lipoma of the face?

Similar Threads

  1. Lipoma Coding??
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 06-20-2012, 08:59 AM
  2. Help Coding Excision of Lipoma
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 03-07-2012, 10:20 AM
  3. lipoma coding
    By lovetocode in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 09-16-2011, 12:30 PM
  4. Please help with coding intramuscular lipoma
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 07-30-2009, 11:44 AM
  5. Help -Coding of Intramuscular lipoma
    By Hopp in forum General Surgery
    Replies: 3
    Last Post: 01-30-2009, 11:59 AM

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?

Login

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.