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Thread: 27618 Question.

  1. #1

    Default 27618 Question.

    AAPC: Back to School
    Doc performs an excision of three separate soft tissue lesions. Each incision was carried down to the sub q.

    I am able to bill 27618 X3 or just once?

    Any suggestions?

  2. #2


    It appears that coding 27618 x 3 would be appropriate as what is described includes; 3 separate lesions & 3 separate incisions.

    Both CPT and Medicare's definition for the appropriate use of modifier -59 include separate incision/excisions, separate lesion as criteria for use of the modifier.

    In addition the code descriptor indicates
    27618 Excision, tumor, leg or ankle area; subcutaneous tissue

    as opposed to tumor(s).

    See CMS "Modifier 59 Article:Proper Usage Regarding Distinct Procedural Service

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  3. #3


    It does. I didn't pay too much attention to the verbage but you are correct.

  4. #4
    Join Date
    Apr 2007


    careful..if the incision was just "down to" the subq you may be looking at integ codes rather than 27618. To qualify for 27618, the incision needs to go "into/through" the subq. Minor technicallity
    Mary, CPC, CANPC, COSC

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