Results 1 to 6 of 6

multiple lesion/tumor excisions

  1. #1
    Question multiple lesion/tumor excisions
    Medical Coding Books
    I have a surgeon who dictated in his OP Report "multiple (20 or 30) lesions excised from both RT upper arm and LT Forearm". I sent it back stating I needed sizes and a count--how many from each arm. His office is saying that they coded it with one code with all the sizes lumped together (stating the 10% of body). I'm saying this isn't right. Am I wrong?
    I thought it was they are coded separately unless they are submitted to pathology as one specimen.
    Any guidance would be greatly appreciated.
    Diann DoBran CPC CPC-H

  2. Default
    Code each excision separately. You wouldn't code them as one - "lumped all together" - unless the surgeon excised just one piece of skin that encompassed/included ALL the multiple lesions. In the cpt book under the "Excision - benign lesions" header it states "Report separately each benign lesion excised."

    There are some 'destruction' codes that include multiples like '15 or more' under one code. Was the physician's office referring to those?

    Hope this helps.

  3. #3
    Don't forget to mention that the repair may be added together and reported with one code, same body area described by the code(and any add on code). Each excision is reported separately to the greatest diameter. Supporting information on that is in the book itself and you can pull up articles to state your claim...sometimes our words are not enough especially when we are new to a group...

    HOpe that helps mS

  4. #4
    Columbia, MO
    without the operative report how do you know these "removals" were excisions? they must be a removal of the visible anomaly to a depth of full thickness to be an excision. They may in fact have been destructions or shaving. So without an op note there is not way to know how to properly code this.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    I am somewhat doubtful that these were 20 to 30 "excisions".
    That is an enormous amount for one session.
    More than likely some form of cryo or laser destruction.
    Ask the staff how it was performed and you'll have your answer.

  6. #6
    Thanks to all of you, I really appreciate it. I was getting flack for sending the Op report back for clearer dictation. I felt I was right but started to doubt myself, so that's why I was asking for input. I really do appreciate far I haven't gotten the dictation back and it's been three weeks soooo..... Thanks again!
    Diann DoBran CPC CPC-H

Similar Threads

  1. multiple lesion excisions
    By in forum ENT/Otolaryngology
    Replies: 4
    Last Post: 08-31-2015, 05:23 PM
  2. Head and neck lesion excisions, Medicare denied.
    By JesseL in forum Dermatology
    Replies: 16
    Last Post: 05-01-2014, 05:40 AM
  3. lesion excisions
    By cmartin in forum General Surgery
    Replies: 0
    Last Post: 04-30-2012, 03:38 PM
  4. need help with CPT for tumor excisions 3 different fingers??
    By Networker3412 in forum Outpatient Facilities
    Replies: 1
    Last Post: 03-07-2011, 08:29 AM
  5. multiple lesion excisions
    By samyjm13 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-13-2009, 05:04 AM

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.