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Thread: Help with Coding-Mass Head

  1. #1

    Default Help with Coding-Mass Head

    AAPC: Back to School
    Can anyone help with following: Deep excision of 3cm mass of the head (Mass was deep and extended down to the fascia of the skull) Path: Lipoma I can't seem to find the cpt as I think it is more involved than the the CPT found in the integumentary section. Thanks

  2. #2

    Default lipoma scalp excision

    try 11423 for excision benign lesion scalp with simple closure OR
    try 12032 for excision benign lesion scalp with layered closure (intermediate repair); these codes are refering to a lesion 3cm no other mention of
    margin excision, etc.;
    Depends on the documentation of closure.
    If surgeon is closing by tissue advancement or reconstruction, your code should be found 14000-14300; these codes, I think, include excision of lesion and repair of defect.
    Hope this helps

  3. #3


    Look at code 21015 Radical resection of tumor, soft tissue of face or scalp.

    Anna Barnes, CPC, CGSCS

  4. #4


    21015 is for malignancy, not a lipoma

  5. #5


    I agree w/ the 11423 + possible closure codes - unfortunately, the scalp, like most of the abdominal wall, is one of the few areas which doesn't have any codes for excision of subcutaneous soft tissue tumors like lipomas.
    C.Martin CPC-GENSG

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