tci General Surgery Coding Alert - 2003 Issue 8

Reader Question: Musculoskeletal Codes Are Possible for Lipomas

Question: For reporting lipoma removal, which codes are correct: the benign lesion codes, or excision of soft tissue mass codes (in this particular case, the mass in on the left shoulder)?California Subscriber  Answer: Either the codes for excision of benign lesion (11400-11471) or the codes for musculoskeletal soft tissue excision (in this case, for example, 23075, Excision, soft tissue tumor, shoulder area; subcutaneous) may be appropriate for removal of lipoma (fatty tumor), depending on the depth of the excision and the specificity of the surgeons documentation. If the surgeons incision does not go deeper than the fascia...

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