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axillary lipoma

  1. Default axillary lipoma
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    how would you code for an axillary lipoma? it is over 4 cm and deep, not superficial.

    i have tried 11406 with an intermediate or complex closure, doc said no.
    hav tried 21556 with no success
    have also tried 23076

    need ideas. i am fresh out

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Please post the operative note
    For an accurate response to your coding question, please post the operative note.

    F Tessa Bartels, CPC, CEMC

  3. Default
    Unfortunately, a CPT code for surgical preapproval is needed.
    Surgeon has palpated mass to be 4-5 cm.
    Does not believe it to be related to lymph nodes at this time.
    It is not superficial, and he is leaning towards a lipoma.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default 23076
    23076 seems appropriate code for pre-authorization. Lipoma Dx 241.1 does cross-check to this CPT.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Location
    Athens, OH
    Posts
    27
    Default
    I would code this with 24076 excision of tumor soft tissue of upper arm and elbow area deep with the dx 214.1 for the prior auth.
    RBoggs CMA, CGSC **Bloom where you are planted**

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