Results 1 to 4 of 4

disagree on codes

  1. #1
    Default disagree on codes
    New Call-to-action
    Hello, doc wants to code ,and i say its cpt code 21552 alone

    procedure was - excision of soft tissue mass, right lateral chest wall measuring 12.7x6.8cm with an interediate layered closure repair of Path report came back as a lipoma

    Now I understand why he wants to code it as an exscision, plus repair , but it soft tissue, which qualify for 20000 series codes
    who is right ?,who is wrong?' thanks

  2. #2
    I agree with you. Also if you look at page 88 in AMA CPT 2011 "Excision of subcutaneous soft tissue tumors. it includes simple or intermediate repair)....

    Pam Howell, CPC

  3. #3
    Charleston, WV
    Agreed. The excision includes the repair.

  4. #4
    Also, AAOS GSD guidelines include intermediate repair.
    Last edited by coderguy1939; 11-10-2010 at 08:38 AM.

Similar Threads

  1. Reimbursement for consult codes vs medicare new office/hospital eval codes
    By cardiocoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2014, 08:09 PM
  2. Office Manager, Insurance company and Coder disagree
    By AlaskaCpcCpb in forum Ophthalmology/Optometry
    Replies: 0
    Last Post: 01-02-2013, 02:11 PM
  3. Please help verify/disagree with my result
    By broundy in forum OB/GYN
    Replies: 3
    Last Post: 02-03-2011, 04:57 PM
  4. Disagree with Primary surgeon coding-opinions please
    By Tammy Hughes in forum Employment General Discussion
    Replies: 1
    Last Post: 06-30-2010, 10:48 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
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.