tci General Surgery Coding Alert - 2011 Issue 11

Reader Question: Span Body Site -- Not CPT® Code

Question: Our surgeon excised a very large lipoma located primarily in the upper back, but extending into the right shoulder area. Which anatomic site should I use for coding the service, or should I code a lipoma excision for each site?Missouri SubscriberAnswer: You should not code two lipoma excisions for the example you give. When an excision spans anatomic sites described by different codes, report the code that identifies the site that encompasses the majority of the lesion.For a lipoma located predominantly on the back, choose from the following codes:21930 -- Excision, tumor, soft tissue of back...

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