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AXILLARY MASS, excision

  1. #1
    Location
    Philadelphia, PA
    Posts
    92
    Default AXILLARY MASS, excision
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    Hello

    My office and our audit company had a discussion in reference to removing a
    (path report not avail at time of coding) lipoma. Operative report procedure was:

    Excision Axillary Mass:

    Audit says to code 23075/76. (shoulder)

    Our coder used 19120.

    Also under discussion was 24075 (upper arm)

    The doctor was a ob-gyn surgeon, and supplied 19120.

    Definition of axillary does include areolar tissue. HELP! thoughts?

  2. #2
    Default response to axillary mass, excision
    considering the info I have, I'm leaning more towards 23076 ( and use -lt or -rt)

    Quote Originally Posted by sdiett View Post
    Hello

    My office and our audit company had a discussion in reference to removing a
    (path report not avail at time of coding) lipoma. Operative report procedure was:

    Excision Axillary Mass:

    Audit says to code 23075/76. (shoulder)

    Our coder used 19120.

    Also under discussion was 24075 (upper arm)

    The doctor was a ob-gyn surgeon, and supplied 19120.

    Definition of axillary does include areolar tissue. HELP! thoughts?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  3. #3
    Default
    Depending on the part of the Axilla the code could be 19120, 24075 (upper arm), 23075(shoulder) or 21930(flank). It just depends on what the operative report says. That's one of the areas they need to create a specific code for. Sorry to not have an exact answer.

    Susan
    AUA Billing

  4. #4
    Location
    Philadelphia, PA
    Posts
    92
    Default
    Thanks all!

  5. #5
    Location
    NEW ORLEANS
    Posts
    954
    Default
    After all these years there is still no specific code for axillary mass - what a shame

  6. #6
    Lightbulb I have submitted a quesiton to the AHA Coding Clinic for HCPCS about this...
    I have submitted a question to the AHA Coding Clinic for HCPCS for 'official' guidance for this question.

    It is a shame there is still no code specifically for the axilla.

    There are so many possibilities. But there needs to be some consistent advice on this.



    Quote Originally Posted by codedog View Post
    After all these years there is still no specific code for axillary mass - what a shame

  7. #7
    Location
    Oak Ridge
    Posts
    22
    Question Axillary mass, excision
    sep5078, Have you had any reply to your question submitted tot he AHA Coding Clinic? We also have a scenario related to this matter. After final pathology, the below example ended up being fibroadenoma.

    We have considered code 21552 (Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater)
    We have also considered code 24071 (Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater). The coder used 11406. Dx D36.7.

    One of our prior rationales for using the 21555 or 21552 is because the Dx crosscode for neoplasm thorax included axilla in it. Official guidance for this would be greatly appreciated.

    "OPERATIVE FINDINGS: Large, approximately 10-12 cm axillary mass, unclear
    on gross examination as to the diagnosis. Frozen section is most
    consistent with a benign cyst adenoma with benign fibroglandular
    proliferation.

    ...Skin incision was made in an elliptical fashion
    incorporating a skin tag that he also desired to have removed. The skin
    tag and some overlying skin was removed exposing underlying mass. The mass
    was circumferentially dissected free. The mass had a strange appearance
    and multiple cystic portions to it and purplish appearance. It did not
    appear to be a lipoma. It was unclear as to what the diagnosis was just
    based on gross examination. So I did go ahead and send this for frozen
    section. Frozen section appeared to be benign. It was most consistent with
    a fibroglandular proliferation. The mass had been removed in its entirety.
    Hemostasis was achieved using electrocautery. Incision was closed with
    interrupted Vicryl sutures followed by subcuticular Monocryl stitch and
    Dermabond dressing."


    Quote Originally Posted by sep5078 View Post
    I have submitted a question to the AHA Coding Clinic for HCPCS for 'official' guidance for this question.

    It is a shame there is still no code specifically for the axilla.

    There are so many possibilities. But there needs to be some consistent advice on this.
    Last edited by acf7575; 03-02-2017 at 11:49 AM.

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