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disagree on codes

  1. #1
    Location
    NEW ORLEANS
    Posts
    954
    Default disagree on codes
    Medical Coding Books
    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 12.cm. 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
    trent

  2. #2
    Default
    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
    Location
    Charleston, WV
    Posts
    245
    Default
    Agreed. The excision includes the repair.

  4. #4
    Default
    Also, AAOS GSD guidelines include intermediate repair.
    Last edited by coderguy1939; 11-10-2010 at 09:38 AM.

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