Results 1 to 9 of 9

Axillary Mass

  1. Default Axillary Mass
    Exam Training Packages
    HI,
    When a subq. lesion is exicised from the axillary mass, what area of the body is that considered part of?

    Would you consider it part of the thorax or arm or shoulder?

    Thank you
    Marci

  2. #2
    Location
    CHERRY HILL
    Posts
    38
    Default
    I have the same question right now! I guess it depends on the pathology...? I had one that was hidradenitis so I coded it appropriately. This one is "metatstatic breast ca extensively replacing a lymph node and extending into the surrounding tissue" so I'm going with
    38525.

    What was your pathology?

  3. Default
    Pathology stated subcutaneous tissue, lipoma. So I'm looking at code 24071 because it was 3cm and dx. of 214.1

  4. Default
    I consider it part of the thorax, since the "upper arm" area doesn't include the shoulder, which has it's own set of excision and biopsy codes. I figure if it doesn't include the top of the shoulder, then it wouldn't include the bottom, either. For that matter, since the shoulder area includes the head and neck of the humerus bone, and there's a code for soft tissue excision of a mass in the shoulder area, that one would probably be accurate as well. I'd still use the thorax, myself.

  5. #5
    Location
    Johnson City
    Posts
    202
    Default
    21555-21558 Axilla is part of the thorax
    Melissa Jewett, CPC

  6. #6
    Default Axillary Mass
    21552 due to size and 214.1 due to path findings.
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

  7. Default
    I have always thought thorax too, but at a general surgery auditing seminar last month, I was told to use shoulder area, the way she explained it made sense although right now it leaves me...but i did make sure to notate axillary = shoulder.

  8. #8
    Default Could be either thorax OR shoulder OR breast?
    Quote Originally Posted by heathermc View Post
    I have always thought thorax too, but at a general surgery auditing seminar last month, I was told to use shoulder area, the way she explained it made sense although right now it leaves me...but i did make sure to notate axillary = shoulder.
    Depending on the part of the axilla, my unsubstantiated opinion is that it could be breast (tail of spence), thorax (a little higher up but still thorax - if you palpate your own axilla, you can feel how you are touching your chest area), or really high up in the axilla, part of the arm.

    It seems to me that for a general location, thorax and shoulder both make sense. It depends on where and how you palpate the area. Just my two cents. I wonder what a surgeon would say, other than just "axilla"?
    Best,

    Kimberly A. Sherman, MA, CPC
    Multi-Specialty Physician Coder/Entrepreneur
    kimberlyshermansd@yahoo.com
    www.physicianscodingservices.com

  9. #9
    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.

Similar Threads

  1. I&D axillary abscess---removal of axillary mass
    By AR2728 in forum General Surgery
    Replies: 3
    Last Post: 09-12-2016, 02:11 PM
  2. Need help w/axillary mass
    By knperry in forum General Surgery
    Replies: 4
    Last Post: 10-09-2014, 04:24 PM
  3. axillary mass / ??????????
    By codedog in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-12-2010, 04:01 PM
  4. Axillary mass
    By codedog in forum Outpatient Facilities
    Replies: 4
    Last Post: 10-15-2008, 12:28 PM
  5. axillary mass
    By bwerner in forum General Surgery
    Replies: 2
    Last Post: 08-14-2008, 02:40 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?

Login

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.