General Surgery Coding Alert

CPT 2010:

Keep the 'Skin' in Integumentary -- Let Origins Show You How

Upcoding every skin lesion to soft tissue tumor could bring fraud charges. Think every large lesion that extends deeper than the dermis is a soft tissue tumor? Think again. Don't make an upcoding error that could land your practice in hot water. Follow these tips to ensure that you distinguish new CPT 2010 musculoskeletal soft tissue tumor codes from procedures better described by integumentary entries. Take a Hint From Cancer Source Soft tissue tumor excision codes and skin cancer treatment codes aren't interchangeable based on size or even depth of excision. With rare exceptions, you should use integumentary codes for skin cancers, and save the new 20000 series soft tissue tumor codes for lesions that do not arise in the dermis. Origin is key: To use the new excision codes, the tumor should stem from the musculoskeletal system, extend through the white fat subcutaneous layer, and not be a tumor [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

General Surgery Coding Alert

View All