tci General Surgery Coding Alert - 2014 Issue 10

Reader Question: Don't Make This $104 Mistake

Question: Our surgeon removed a mass from a patient’s nose (1.3 cm, including margins), and the pathologist diagnosed it as a dermoid cyst. Should we report 11442 for the service? Nevada Subscriber Answer: Based on the diagnosis, the best procedure code to describe this service is 30124 (Excision dermoid cyst, nose; simple, skin, subcutaneous).  If the surgeon documents that the excision is complicated because the cyst extends under the bone or cartilage, you should use 30125 (Excision dermoid cyst, nose; complex, under bone or cartilage).  The code you listed, 11442 (Excision, other benign lesion including...

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