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Thread: Exision of mass consistent with Neuroma

  1. #1

    Lightbulb Exision of mass consistent with Neuroma

    AAPC: Back to School

    I was asked to review a case regarding:

    Right thumb mass consistent with Neuroma. The mass was excised; however, there was no specimin size documented.

    Current CPT codes entered are:

    11420 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less

    64782 - Excision of neuroma; hand or foot, except digital nerve

    I agree with code 11420, but I don't agree with 64782. I feel that code 64776, Remove digit nerve lesion 1-2 same digit, is more accurate due to the fact that the mass/neuroma was on the patient's thumb.

    Please advise if my hunch is correct.

    Thank you

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Need to see the op note

    For an accurate response to surgical coding questions, please post the scrubbed operative / procedure note.

    F Tessa Bartels, CPC, CEMC

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