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subcutaneous lipoma

  1. #1
    Default subcutaneous lipoma
    Medical Coding Books
    When you have a subcutaneous lipoma of the thigh, do you code from the integumentary or musculoskeletal? 27323 or11403 2x2 cm.

  2. #2
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    IF the incision is through the subcutaneous tissues, then you will code from the musculoskeletal section otherwise Integ.

  3. #3
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    Duluth, Minnesota
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    bwerner -I would code the 11403 from the integumentary system area.
    {that's my opinion/advice on the posted matter}
    Donna, CPC, CPC-H

  4. #4
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    bwerner,

    I have documentation from a seminar I attended that reads from the slide show as follows:

    Lipomas are to be reported with codes from the integumentary or musculoskeletal sections based on the work involved (AMA CPT assist Aug 02).

    The CPT manual includes within the description of the lesion codes, "unless elsewhere listed".

    Used judgement based on op report description as to the reporting of the lesion code or code fromthe appropraite anatomical site.

    Lesions located in deep/subfascial/submuscular tissues should be reported from the CPT musculoskeletal section.


    Hope this helps you
    Mary

  5. #5
    Default
    Thank you for the information.

    I have documentation from a seminar I attended that reads from the slide show as follows:

    Lipomas are to be reported with codes from the integumentary or musculoskeletal sections based on the work involved (AMA CPT assist Aug 02).

    The CPT manual includes within the description of the lesion codes, "unless elsewhere listed".

    Used judgement based on op report description as to the reporting of the lesion code or code fromthe appropraite anatomical site.

    Lesions located in deep/subfascial/submuscular tissues should be reported from the CPT musculoskeletal section.


    Hope this helps you
    Mary[/QUOTE]

  6. #6
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    St. Louis, Missouri
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    I would use 27327.

    Melissa Blow, CPC

  7. #7
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    NEW ORLEANS
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    i thougt you had to also wait on path report. What if the path report comes back as 706.2 a cyst -then what ?

  8. #8
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    The procedure code (CPT) that is chosen is based on the procedure performed. It would be up the the surgeon to prove the medical necessity of the procedure if it were denied for diagnosis.

  9. Default
    If I'm coding an excision of a subq lipoma from the thigh, I use 27327 "Excision, tumor, thigh or knee area; subcutaneous".
    C.Martin
    CPC-GENSG

  10. Default
    I have this same circumstance and talked it over with my doctor and he and I both concluded 27327, because a Lipoma is equal to a tumor.
    adrianne, cpc

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