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Thread: incisional biopsy 5 cm done on at the occipital scalp

  1. #11
    Join Date
    Apr 2007


    AAPC: Back to School

    There is what I i found on internet
    THis is a confusing subject but hopefully this helps

    April 2010 CPT Assistant
    Integumentary vs Musculoskeletal Lesion Excisions

    In an attempt to clear up frequent confusion over which code to report for the excision of soft tissue tumors, the American Medical Association updated guidelines in the 2010 CPT codebook for these types of procedures. Specifically, guidelines for choosing between the integumentary system and the musculoskeletal system were revised, because making the decision between the two systems is where there is the most confusion for coders.

    egumentary codes should be reported when the lesion is removed from somewhere within the full thickness of the dermis, and Musculoskeletal codes should be reported when the lesion is removed from the subcutaneous, superficial, or deep soft tissues under the dermis. When reporting an integumentary code, simple closures are included but intermediate and complex closures should be reported separately using CPT codes 12031-12057 or 13100-13153. The removal of Musculoskeletal lesions includes simple and intermediate closures but complex closures are not included and should be reported separately.

    Does this help ?

  2. #12


    thanks trent very much i have printed your statement to keep in my cpt book. your time and responce was appreciated as was all that i recieved.

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