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CPT code for squamous cell carcinoma of finger

  1. #1
    Default CPT code for squamous cell carcinoma of finger
    Medical Coding Books
    Patient had an excision of squamous cell carcinoma and full thickness skin graft of finger. The excision site is 2.0 x 2.0 cm . is cpt code 11622 appropriate with a skin graft of 15240 or do i use 26117 thats was the booking .-- . TRENT
    Last edited by codedog; 08-26-2008 at 08:22 PM. Reason: spell to much

  2. Default
    simple excision of malignant lesions and closure are coded with 11600-11646 codes;
    radical resection of skin tumors should be coded with 26117;
    whether it is a simple excision or a radical resection determines the code selection.
    Usually fingers are not the original site of formation of a malignant lesion, scar of squamous cell carcinoma type. Only, the growth has spread to such areas and a deep rooted malignant tumor often results in such areas. In such instances, a wide local excision is usually done and not a simple excision.
    So, coding 26117 is only appropriate.

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