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Thread: Excision Excess Skin

  1. #1
    Join Date
    Apr 2007
    Temple, TX

    Default Excision Excess Skin

    AAPC: Back to School
    My general surgeon performed a wide excision of an axilla lipoma with removal of excess skin. He states " the lipoma was very large and deep, so I had to made a skin flap and I removed the lipoma in its entirety. Since she had too much excess skin, I had to do a removal of excess skin."

    I know how to code the lipoma excision, however excess skin removal is new to me.

    Is this even seperately billable? If so, can someone point me in the right direction. I found CPT 15839- Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area. However, I am not sure if this would be the appropriate CPT.

    Any help would be greatly appreciated.

    Thank you in advance,

  2. #2
    Join Date
    Apr 2007


    they will not pay in addition for 15830. Your best bet is to use a modifier 22 ( with supporting documentation) or just code from the 14000 series (with supporting documentation)

    hope that helps

  3. #3
    Join Date
    Apr 2007
    Johnson City


    Most carriers view excess skin removal as a cosmetic procedure, and not payable.
    Melissa Jewett, CPC

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