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If there is a more specific code, always use the description that best describes the procedure or is the most specific such as the codes listed below: vestibule of mouth What is the cpt code soft tissue x ray neck skin#Notice a prompt on certain chapters and sections where you may see a note (Unless listed elsewhere) stating there may be a code with a more specific anatomic location.Įxcision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs What is the cpt code soft tissue x ray neck manual#Specific anatomic sites will be found through the CPT manual as well for coding other types of lesions. Destruction means ablation by any method, including electrosurgery, cryosurgery, laser, and chemical treatment.If pathology shows the excision margins were not adequate, and additional excision is done during the post-op period, append modifier 58 to the re-excision procedureĭestruction Procedures on Benign or Premalignant Lesions 17000- 17250ġ7000- 17003 premalignant lesions (e.g., actinic keratoses)ġ7106- 17108 cutaneous vascular proliferative lesions (e.g., laser technique).Includes simple closure (non-layered). ![]() However, if intermediate ( 12031 - 12057 ), complex ( 13100 - 13153 ), or reconstructive closure ( 15002 - 15261, 15570 - 15770) is required, report the appropriate codes separatelyĮxcision-Malignant Lesions Procedures on the Skin 11600 ‑ 11646ġ1620 - 11626 scalp, neck, hands, feet, genitaliaġ1640 - 11646 face, ears, eyelids, nose, lips, mucous membrane Includes simple closure (non-layered).Removal of epidermal and dermal lesions without a full-thickness dermal excisionĮxcision-Benign Lesions Procedures on the Skin 11400- 11446ġ1420 - 11426 scalp, neck, hands, feet, genitaliaġ1440 - 11446 face, ears, eyelids, nose, lips, mucous membrane.Shaving of Epidermal or Dermal Lesions Procedures 11300‑ 11313ġ1305 - 11308 scalp, neck, hands, feet, genitaliaġ1310 - 11313 face, ears, eyelids, nose, lips, mucous membrane According to AMA, excision is defined as full-thickness.The excision of the lesion is not reported. If adjacent tissue transfer is required, only report the tissue transfer 14000- 14302.To determine code selection, measure the lesion and the surrounding tissue or most narrow margin of normal tissue required for complete excision.A 10-day global means the 10 days start the day of the procedure, and any postoperative procedures are included in the procedure and generally are not payable for 10 days.Ĭoding Lesions of the Integumentary System An excision, however, is considered a minor procedure and carries a 10-day global period. For example, the shaving of an epidermal or dermal lesion is considered an "endoscopic minor procedure" and has 000 global days. If, for some reason, a re-excision is required, keep an eye on the global days for the procedure that was done. Check the pathology reports, if any, to confirm Morphology (whether the neoplasm is benign, in-situ, malignant, or uncertain)ġ-Epidermis - Split-thickness between the epidermis and dermisĢ-Dermis - Full-thickness of the epidermis and the entire dermisģ-Subcutaneous - Below the dermis, meaning fat and connective tissues.The code selection will be determined upon the following: There are several considerations to be aware of before assigning a code for lesions and soft tissue excisions. News - industry news & Find-A-Code updatesīy Christine Woolstenhulme, QCC, QMCS, CPC, CMRS.Marketplace - recommended products & services.Library - buy digital books from Find-A-Code.Bookstore - buy physical books & cheat sheets.Subjects - Audits, E&M, HIPAA, Practice Mgt, etc.Specialties - Cardiology, ENT, Family Practice, etc.Payers - Medicare, Medicaid, BC/BS, Aetna, etc.Facilities & Organizations - ACOs, Hospitals, etc. ![]()
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