Results 1 to 4 of 4


  1. #1
    Default Orhto
    Medical Coding Books
    Diagnosis: Lipoma of the wrist

    procedure: excision of lipoma

    Procedure code for this is?

    thank you
    Daniel, CPC

  2. #2
    Milwaukee WI
    Default Look at Excision codes
    Look at the Excision codes in CPT under "Forearm and Wrist." (pg 100 of 2008 CPT Professional Edition)

    F Tessa Bartels, CPC, CPC-E/M

  3. #3
    OP report.

    As follows. After a successful anesthetic, the patient was positioned on the operating table, a toruniquet applied to the upper arm. The extremity was prepped in the usual manner for a surgical procedure and draped off. The superficial vessels were exsanguinated with an elastic wrap, and the toruniquet was inflated to the usual arm pressure.
    A longitudinal incision was made over the presenting mass which was just volar to the superficial branch of the radial nerve. The mass was encapsulated with some fatty tissue extending from it. This was dissected out with blunt and sharp dissection, and care was taken to protect additional sensory nerve that was identified. After dissecting out the mass, it was submitted for specimen. it appeared to be a lipoma.

    CPT: 25075: Excision, tumor, soft tissue of forearm and/or wrist area: subcutaneous.

    This is what I get. Do you agree.

    danie, CPC

  4. #4
    Milwaukee WI
    Default Yes,
    Daniel ... I"m not an expert at ortho codes, but Yes, I'd agree with you on 25075.

    My only question would be that mention is made of the radial nerve and fatty tissue extending from the lipoma. Someone more expert in the anatomy of the forearm/wrist can tell whether this might indicate a deep excision.

    Secondly, since the specimen was sent to pathology, you might want to wait for a definite diagnosis of the mass before finalizing your coding. (You may have already done that ... )

    F Tessa Bartels, CPC, CPC-E/M

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.