You should be using the 27327/27328. These are the codes that accurately report the excision and the depth that the doctor had to obtain to get there. When I look at my cross coder through Encoder Pro, the lipoma diagnosis is there. ( I do not let a diagnosis from a pathology report determine my codes for me.)
Per the CPT guidelines (of course I can't quote them right now because I can't locate where it says this..but...) you should only code from the integumentary section for excision of lesions when there is NOT an applicable code in the musculoskeletal section of the CPT book.
hope this helps
Mary
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