AAPC - Back to school
Results 1 to 3 of 3

Thread: Help with excision, please?

  1. #1

    Default Help with excision, please?

    AAPC: Back to School
    I've been asked to review some Dermatology cases recently and can't seem to
    > remember the coding for it as I've only ever had to do it on tests. I'm
    > hoping somone can help me out on this.
    > For the first nevus would it be 3.2+1.8=5cm(CPT 11406) or is just taking
    > the
    > largest size (3.2cm/11404)?
    > Pt presents for excision of two nevi on the buttock and abdomen..
    > Physical exam revealed a 14 X 12 mm brown velvety plaque on the right
    > abdomen and a 22 X 9 mm plaque on the right buttock..
    > Written consent was obtained after discussing the risks and benefits of the
    > procedure. The chest and buttock were prepped with Hibiclens. Anesthesia 10
    > mLs. lidocaine 1% with epinephrine was injected into the site. After the
    > procedure 3 mls of 1/4% marcaine with epinephrine was injected into the
    > wounds.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    You take the largest diameter for your excision size. From your op note convert from mm to cm and code each excision separate according to the largest diameter. You will need a 59 modifer and it will go on the smaller of the excisions since they are in different sites of the same grouping.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Write this in your CPT book

    Across the top of the page(s) for lesion excision (BOTH benign and Malignant) write - DO NOT ADD DIMENSIONS - EACH LESION CODED SEPARATELY

    Across the top of the page(s) for wound repair write - ADD SAME SITE, SAME CLASS TOGETHER AND CODE ONCE

    So for your patient with two nevi on the buttocks and abdomen you will have a total of 3 codes IF INTERMEDIATE REPAIR
    1140x for largest of the two nevi
    1140x-59 for the smaller nevus
    1203x-59 for the intermediate repair (add the lengths of the two incisions together)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Excision help
    By Radcoder86 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-15-2015, 07:09 AM
  2. Replies: 2
    Last Post: 10-04-2014, 12:12 AM
  3. Open excision ganglion cyst excision shoulder
    By cathy56 in forum Orthopaedics
    Replies: 3
    Last Post: 10-07-2013, 04:48 AM
  4. Replies: 0
    Last Post: 07-15-2013, 01:29 PM
  5. CPT 88307 for Skin - deep excision/re-excision
    By navarrej in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 06-14-2012, 01:18 PM

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?


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.