Results 1 to 3 of 3

Thread: dermoid cyst

  1. #1
    Join Date
    Apr 2007
    Posts
    76

    Default dermoid cyst

    I have a 4 yr old with a right postauricular area dermoid tumor that came in for supratentorial resection of a dermoid tumor for underlying cranium, reconstruction of area, and contouring of the underlyng cranial bone

    I came up with 216.2 cpt 69150
    The provider put CPT code 21181 13152 61304

    Not sure which is right??
    Thanks

  2. #2
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,453

    Default Need to see the op note

    Please post the scrubbed op note - cannot give an accurate answer without the note.

    F Tessa Bartels, CPC, CEMC

  3. #3

    Default

    Yes the info is inadequate. the op notes is very important.
    the supra tentorial dermoid cyst / or any dermoid cyst does not have an accurate code.
    Dermoid can occcur in ovary, skin , spinal cord and the brain, the brain Dermoid are the rarest amongst them all.
    Though the approach was posterior auricular, from the notes you furnished it seems to be a Supratentorial Dermoid cyst of the brain usually occuring at the frontal base or temporal base/posterior cranial fossa
    so I would use the "Benign Neoplasm of the Brain and the other parts of the nervous system - 225.0 Brain , benign neoplasm.
    you can still give the symptoms like varient headache syndrome: 346.2. Headache: 784.0 or siezure if it was there, as sec diagnosis, which were the reason for the encounter.
    I doubt your diagnosis Code 216.x seems to be off the track, because the basic structural pathology of Dermoid , is not found in any one of those listed in 216.2.

Similar Threads

  1. open excision of cyst AND arthroscopic exc of 2nd cyst
    By gprice@msa4life.com in forum Auditing General Discussion
    Replies: 0
    Last Post: 03-14-2014, 11:58 AM
  2. dermoid tumor
    By KELLI in forum Outpatient Facilities
    Replies: 0
    Last Post: 10-01-2010, 06:00 AM
  3. Laparoscopy with excision of lt.ovarian dermoid
    By cynthiaj54 in forum OB/GYN
    Replies: 6
    Last Post: 05-05-2009, 03:09 PM
  4. Excision Glabellar Dermoid Cyst
    By FTessaBartels in forum Plastic Surgery
    Replies: 0
    Last Post: 10-14-2008, 03:44 PM
  5. Dermoid cyst
    By acombspsa in forum General Surgery
    Replies: 4
    Last Post: 07-23-2008, 05:21 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
  •