CPT^® 21558, Under Excision Procedures on the Neck (Soft Tissues) and Thorax

The Current Procedural Terminology (CPT^®) code 21558 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Neck (Soft Tissues) and Thorax.

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Summary

The provider performs an excision procedure for a soft tissue malignant tumor, such as a sarcoma, from the neck or the front part of the thorax. The excision of the tumor is performed in an extensive manner, not being limited to the dimensions of the tumor itself but expanding to its surrounding area/anatomical structures suspected for involvement. The diameter of the tumor and the margins required measure 5cm or more.

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Help with ENT procedure

CPT Assistant states that the procedure is reported with 21557 or 21558 depending on the size of the tumor.... [ Read More ]

21558 & 38724

Hi, Can anyone tell me if 38724- modified radical neck dissection is a integral part of procedure 21558-resection of of soft tissue tumor of neck. We have received a ... [ Read More ]

Excision of lesion versus adjacent tissue transfer

Hello, I've spent hours trying to decipher the coding rules of malignant excisions with adjacent tissue transfer. In a nutshell, physician performed a radical resection of multiple sites or recurren... [ Read More ]

Coding help needed

How would you code this surgery? My provider selected 23078-22, 21558, 38745, 13121 and 13122 x 5. The patient was brought to the operating room and placed on the OR table in the supine position. ... [ Read More ]

Anesthesia for 21558

The code 21558 is "radical resection of tumor (eg. sarcoma), soft tissue of neck or anterior thorax; less than 5 cm." Path came back as 173.52 The op report: A time out was performed by the surgical... [ Read More ]

Anesthesia for 21558

I noticed the procedure was done on the neck, but the dx code is for squamous cell carcinoma of the trunk. That may be your problem. If the neoplasm was on the neck, use 173.41 as your dx code. If t... [ Read More ]

Anesthesia for 21558

I am really new to anesthesia coding and cannot find my answer anywhere. The crosswalk for code 21558 brings up 3 codes: 00300, 00320, and 00400. Our outsourced coders picked 00400, but medicare denie... [ Read More ]

Chest wall resection

Hi. Hope everyone is having a wonderful day. I need help on what code to use for this procedure. Procedure: Left chest wall resection with pectoralis major muscle requiring cutaneous flap closur... [ Read More ]

Massive Melanoma resection

Can anyone give me some guidance to the following situation. I have a case where a conglomeration of melanomas were resected , one massive resection of 30 cm from the subcutaneous tissue of the chest.... [ Read More ]

Revision of Mastectomy

Patient had Modified Radical Mastectomy on 11/7/13, (breast CA) the path report shows that there are further tumors that need to be removed. the doctor took the patient back to surgery on 01/13/14 (... [ Read More ]

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