Results 1 to 4 of 4

lipoma coding

  1. Default lipoma coding
    Exam Training Packages
    Patient had a subcutaneous mass of the scalp. Surgeon removed mass and sent to pathology to discover it was a lipoma. This is the entirety of the operative report:

    Preop dx: Subcutaneous mass of scalp
    Postop dx: Subcutaneous mass of scalp
    Procedure: Excision of subcutaneous mass of scalp
    Anesthesia: MAC and local
    EBL: Min
    Findings 2 cm fatty mass c/w lipoma
    Specimen 2 cm round mass of scalp
    Complications: none
    Condition: Stable

    Please advise on how to properly code. Would you use 11422 for an excision of a benign scalp lesion, or would you code it 21011 for an excision of a scalp tumor in the subcutaneous tissue?

    I would suggest the 21011 because a lipoma is a benign tumor composed of adipose tissue.

  2. #2
    Default
    Quote Originally Posted by lovetocode View Post
    Patient had a subcutaneous mass of the scalp. Surgeon removed mass and sent to pathology to discover it was a lipoma. This is the entirety of the operative report:

    Preop dx: Subcutaneous mass of scalp
    Postop dx: Subcutaneous mass of scalp
    Procedure: Excision of subcutaneous mass of scalp
    Anesthesia: MAC and local
    EBL: Min
    Findings 2 cm fatty mass c/w lipoma
    Specimen 2 cm round mass of scalp
    Complications: none
    Condition: Stable

    Please advise on how to properly code. Would you use 11422 for an excision of a benign scalp lesion, or would you code it 21011 for an excision of a scalp tumor in the subcutaneous tissue?

    I would suggest the 21011 because a lipoma is a benign tumor composed of adipose tissue.
    Since lipomas are usually found in subcutaneous tissue, not in the skin, the musculoskeletal section of CPT is the place to look. So 11422 is not the right code and I think instead of 21011 you should use: 21012 Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater

  3. Default
    Yes, you are correct. Thank you so much for your advice!!

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default However ...
    However ... your documentation is sorely lacking in my opinion to code ANYTHING.

    Surgeon doesn't mention incision, type of closure, etc.

    I would not be comfortable assigning either code to this documentation.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Lipoma Coding??
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 06-20-2012, 09:59 AM
  2. Help Coding Excision of Lipoma
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 03-07-2012, 11:20 AM
  3. Lipoma Coding
    By Hopp in forum General Surgery
    Replies: 9
    Last Post: 03-15-2010, 09:06 AM
  4. Please help with coding intramuscular lipoma
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 07-30-2009, 12:44 PM
  5. Help -Coding of Intramuscular lipoma
    By Hopp in forum General Surgery
    Replies: 3
    Last Post: 01-30-2009, 12:59 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.