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Thread: Please help coding Exc.Flank Mass

  1. #1

    Default Please help coding Exc.Flank Mass

    AAPC: Back to School
    Hi - Wondering if someone would help with coding the following: Excision of 6cm deep subcu. right flank mass with layered closure DX: Lipoma (Also, Doc.Wants to bill an office visit with this? Not sure-about that either)
    Thanks for your help
    Deb, CPC

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    I'd need a bit more info before being able to help with codes. Need to see the dictation to determine if both can be coded...and what "exactly" was done.
    Donna, CPC, CPC-H

  3. #3
    Join Date
    Apr 2007
    Brandon, FL

    Default closure

    I would use 21930 and a layered closure from 12031-12057 category (size matters with 214.1. If this is the first time the provider has examined the mass and made the decision on this date to excise it -you can bill the E&M with a -25. Assuming this was all done in the office not in the OR.

    Lynn Ring

  4. #4


    I would only use 21930. Per the coders desk reference this code includes layer closure with sutures, staples or steri-strips.

  5. #5
    Join Date
    Apr 2007


    I agree with Heather, just the 21930. Depth does not matter with this code and as Heather mentioned, it would include the closure.

    Mary, CPC, COSC

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