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Thread: Excision Mass Back

  1. #1

    Default Excision Mass Back

    AAPC: Back to School
    Need help with choosing the right code. The physician did an excision of a lipoma of the back. He stated the mass proved to be a multilobulated lipoma that extended down to the deep sub Q tissues. The mass was dissected free in its entirety. When the physician states deep subQ tissues, is this going pass the dermis to the fascia/muscle? For future references, is there any specific wording in the documentation that will help me to determine if I should be in the 20000 series or the 11000 series? I know if muscle or fascia is mentioned I get a code from the 20000 series, and sub q I go into the 11000 series (superficial), But I am not sure if there is a difference when the doc states sub Q vs deep sub Q. When dissected is stated, does this mean also he had to go pass the superficial layer?
    For this report I selected code 21930, since he stated deep sub Q. Please let me know otherwise. Thanks!

  2. #2


    for lipomas I always code from the musculoskelatal section...yes 21930 is correct.

  3. #3

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