tci Outpatient Facility Coding Alert - 2018 Issue 5

Reader Question: Understand Role of Measurement in Melanoma Excision Surgery

Question: An op report describes melanoma re-excision of a 1.9 cm lesion with 0.1 cm margins that involved removing subcutaneous tissue down to, but not including, the fascia. The note then describes an intermediate repair. Should we code this as 24075? Ohio Subscriber Answer: No, the correct code for the case is not 24075 (Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm). The op report identifies the excision as a melanoma, so you should not use a soft-tissue code. Even if the tumor has invaded the subcutaneous tissue down to...

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