tci General Surgery Coding Alert - 2013 Issue 10

Reader Question: Lipomas Don't Add Up

Question: Our surgeon excised two subcutaneous lipomas from a patient’s forearm, each requiring separate incisions. The sizes were 4 cm x 3.5 cm and 2.2 cm x 2.6 cm. Should we code this as two separate benign lesion excisions — 11404 and 11403, or add them together to report 11406? Louisiana Subscriber Answer: Because the surgeon excises two distinct lesions, you should separately report the procedure code for removing each one. However, 11403-11406 (Excision, benign lesion including margins, except skin tag [unless listed elsewhere], trunk, arms or legs; excised diameter 2.1 to …over...

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