Results 1 to 4 of 4

Forearm masses-clinically a lipoma

  1. #1
    Default Forearm masses-clinically a lipoma
    Exam Training Packages
    Would you code this 25071 x2 or 11403 x 2
    here is operative report
    OPERATION - dissection was carried down through skin and subcutaneous tissue after making an incision in the area for around 2-3 cm. It appeared to be a lipoma. The entire sac with surrounding tissue was removed. It was sent to pathlogy. Skin was closed with 3-0 nylon. On the medial side, the exact same thing was done. This was noted to be about 3cm. Dissection was carried down through skin and subcutaneous tissues. The entire mass with surrounding tissue was removed. The skin was closed with 3-0 nylon. A sterile dressing was placrd .

    I want to code 25071 -CPT code in book says subcutaneous 3 cm or greater
    but I seem to have a hard time looking at key words that leads me to 25071 or 11403- can someone explain what they would code it and why ?

    I been to some forums in this aapc and it seems some people do get confused on this subject , so someone breaking It down may help

  2. Default
    To me it sounds like 25071 (or 25075 depending on size) - they're dissecting down thru skin and subq tissue b/4 they get to the mass/lipoma. It always helps to be familiar with the way the particular provider phrases things, but I think it reads as though the tumor is in the subq tissue, not the skin, so 25075/25071 rather than 11403/11404; path report should clinch it for you.

  3. #3
    thanks- path report read received in formalin is segment of adipose tissue measuuring 2.4 x1.8 x 0.9 cm . The specimen is serially sectioned to reveal usual fatty cut surface ans spcimen is entirely covered with very thin membranous tisue and it went on to say same for other specimen -thanks

  4. Default
    There is a very good article in CPT Assistant. February 2010/Volume 20 Issue 2 and again April 2010 CPT ASsistanVolume 20 Issue 4 that talks about Integumentary vs Musculoskeletal. That might help you, I know that I refer to both alot.
    M. Klaubauf, CPC

Similar Threads

  1. bi lateral scrotal masses
    By elainehopf in forum Urology
    Replies: 1
    Last Post: 10-28-2013, 12:21 PM
  2. Liver Masses Dx
    By cingram in forum Gastroenterology
    Replies: 5
    Last Post: 11-08-2011, 07:59 PM
  3. MASSES AND I&D's!?!?!
    By JWash618 in forum Anesthesia
    Replies: 4
    Last Post: 10-18-2010, 10:51 AM
  4. excision of masses
    By trose45116 in forum Outpatient Facilities
    Replies: 1
    Last Post: 10-02-2009, 03:16 PM
  5. subq masses
    By trose45116 in forum Outpatient Facilities
    Replies: 4
    Last Post: 07-22-2009, 08:14 AM

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.