AAPC - Back to school
Results 1 to 6 of 6

Thread: Wide Excision Melanoma thigh

  1. #1

    Default Wide Excision Melanoma thigh

    AAPC: Back to School

    Surgeon is Excising a malignant tumor from the right thigh. I don't know the size yet but I wanted to make sure I have this straight.

    Question: Because the tumor is malignant and in the thigh we are to use 27327 and not the full thicknes excision codes 11603?

    I need some clarification on using the new excision codes.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Skin vs musculoskeletal

    This will depend on whether the lesion extends down into the muscle/fascia.

    If it is still confined to the skin, then you will use codes from the integumentary system.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    Thank you.

  4. #4
    Join Date
    Apr 2007
    Pittsburgh Central


    Use the integumentary system codes for melanoma. The 2XXXX codes are for tumors that orginate in the subcutaneous level or fascia.

  5. #5


    I just got done with about 2 hours of research and talking with the surgeon and I believe we are all on the same page with documentation of excisions, depth,size. Thank you for your input. That is what I came up with also..

  6. #6
    Join Date
    Apr 2007

    Default skin vs. musculoskeletal

    Just to confirm: If the lesion is extending down deeper, you are using the soft tissue codes even though the lesion originates in the cutaneous layers or are you using the integumentary codes only for melanomas, basal and squamous cell carcinomas? Thanks, JMahnke, CPC

Similar Threads

  1. CPT code for wide local excision of melanoma
    By akfoster77 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-02-2013, 03:51 PM
  2. how to code wide excision melanoma upper extremity
    By kmcarthur@medicmgmt.com in forum General Surgery
    Replies: 3
    Last Post: 02-13-2012, 02:18 PM
  3. Wide excision of melanoma/ Complex repair?
    By Trendale in forum General Surgery
    Replies: 1
    Last Post: 06-08-2011, 02:18 PM
  4. Wide Excision Melanoma thigh
    By ASC CODER in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-18-2010, 11:29 AM
  5. Wide excision malignant melanoma
    By smcbroom in forum Outpatient Facilities
    Replies: 2
    Last Post: 02-26-2009, 12:31 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.