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Sebaceous cyst excision

  1. Question Sebaceous cyst excision
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    Help! We are having a disagreemtn with coding.

    Dr wrote in procedure note; excision sebaceous cyst 3cm x 3 cm and 5 cm deep left forearm. No path, No sutures, (used steri strips), no drainage no complications. What procedure code: 24071 or 10040???

  2. Default
    Quote Originally Posted by scrappersue1 View Post
    Help! We are having a disagreemtn with coding.

    Dr wrote in procedure note; excision sebaceous cyst 3cm x 3 cm and 5 cm deep left forearm. No path, No sutures, (used steri strips), no drainage no complications. What procedure code: 24071 or 10040???
    I am thinking 11406, as i find it unusual to close a "deep" excision with just steri-strips.
    And my concept of thinking is that a sebaceous cyst is not a "tumor"
    Can someone clarify that with me, as i am in the process of having coding issues with a surgeon also. As he is classifying every sebaceous cyst as a tumor.

  3. #3
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    how about 10060 the verbage in CPT "and" means and/or
    Jenifer McPolin CPC, CPMA, RCC

  4. Default
    I like 11400 series as well per Dr stating "excision". CPT guidelines for Excision -Benign lesion states "Cystic Lesions" which would cover a sebaceous cyst. A sebaceous cyst can only be a skin lesion as it comes from the sebaceous gland which is in the skin

    Tabers:
    Sebaceous cyst: A cyst filled with sebum from the distended sebaceous gland.
    Sebaceous gland: An oil-secreting gland of the skin.

    Good Luck!

  5. Default
    thanks, but I was thinking....is 5cm deep, too deep for a superficial code?

  6. #6
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    I SO love you guys. Thanks for the information.

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