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Attempted Excision

  1. #1
    Overland Park, KS
    Exclamation Attempted Excision
    Medical Coding Books
    A provider attempted to excise a cyst. The provider made an incision but did not remove the cyst because he thought it to be a lipoma that had roots that extended to the muscle, so he sutured the patient and sent him to a general surgeon.

    How would you code for the attempted removal of a cyst ot the left forearm? The provider thought it was a sebaceous cyst, but later thought it was lipoma. Would you use an excision code with modifier 52?

    All thoughts appreciated. Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. #2
    Milwaukee WI
    Default modifier 53
    I'd use modifier -53 for a procedure that was discontinued.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Overland Park, KS
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

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