AAPC - Back to school
Results 1 to 4 of 4

Thread: how to code wide excision melanoma upper extremity

  1. #1

    Default how to code wide excision melanoma upper extremity

    AAPC: Back to School
    How would you code the following:

    The right arm was prepped and draped in standard fashion. Elliptical incision was made surrounding the pervious biopsy site, deepened using electrocautery until the muscle fascia was identified. The specimen was removed from the fascia and this was then oriented with sutures and the total excision was 6cm x 2.5cm x 4cm. The wound was irrigated and hemostasis was noted. Using 3-0 Vicryl, the deep tissues were reapproximated and then a nylon was placed in an interrupted fashion to reapproximate the skin edges. The wound was cleaned and dried, sterile dressing was applied. The pt tolerated the procedure well and was transported to recovery room in good condition.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    go to the CPT book and find a malignant excision code for extremity of 6cm size also a code for the intermediate repair of 6cm for extremity. Your dx code is the melanoma of the arm

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Northeast Kansas AAPC


    I would check out 24079 - radical resection of tumor, soft tissue upper arm or elbow area, more that 5 cm

  4. #4


    Please review the section instructions on page 64 under Excision - Malignant Lesions in the CPT book. It states, "excision (including simple closure) of malignant lesions of skin(eg, basal cell carcinoma, squamous cell carcinoma, melanoma) includes local anesthesia."

    The reason is these types of carcinoma arise from the dermis. So code from this section with layer closure is necessary. (Check Medicare's policy to see if you can add the layer closure.
    Hope this helps,

Similar Threads

  1. CPT code for wide local excision of melanoma
    By akfoster77 in forum Hematology/Oncology
    Replies: 0
    Last Post: 04-02-2013, 04:23 PM
  2. CPT code for wide local excision of melanoma
    By akfoster77 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-02-2013, 03:51 PM
  3. Replies: 1
    Last Post: 03-10-2011, 07:13 AM
  4. Wide Excision Melanoma thigh
    By ASC CODER in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-18-2010, 11:29 AM
  5. Wide excision malignant melanoma
    By smcbroom in forum Outpatient Facilities
    Replies: 2
    Last Post: 02-26-2009, 12:31 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?


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.