CPT^® 27619, Under Excision Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27619 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Leg (Tibia and Fibula) and Ankle Joint.

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Summary

The provider excises a tumor within beneath the fascia or in the muscle of the leg or ankle area without removing a significant amount of surrounding normal tissue. The tumor measures less than 5 cm in diameter.

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Mass Excision & ATT Coding

One of the plastics practices uses 20000 codes for the excision and then also uses ATT 14000 series for a single mass excision. The documentation is "an advancement flap consisting of skin, subcu, an... [ Read More ]

Leg mass

If you have a 2010 Coders' Desk Reference the27632-27634 states "These are resequenced codes. Please see 27618-27319 for the lay description." 27618-27619, 27632-27634 The physician removes a tumor ... [ Read More ]

Subcutaneous tissue

Glad this subject came up This is what I was told , To code Musculoskelel system look for clues in operative report to determine if the codes selection based on the depth of the excision . Word... [ Read More ]

Help in coding

From medterms.com: Tophus: A nodular mass of uric acid crystals. Tophi are characteristically deposited in different soft tissue areas of the body in gout. The word tophus comes via Latin from the Gre... [ Read More ]

Help in coding

yes, the reason for my confusion is that he gives a DX of anterior patellar bony mass, in the body of the dictation he states it to be a large suprapatellar mass. Today I queried him and he said to us... [ Read More ]

Help in coding

I would use 29880 instead of 29881, since he did medial AND lateral menisectomies. Also not sure if 27619 is the correct code, since that is for leg/ankle, and not knee area?... [ Read More ]

Help in coding

proc: Lt knee arthroscopy w/ posteromedial and lateral menisectomies and separate anterior patellar bony mass excision The inferomedial and infraportals were established through which the knee was ex... [ Read More ]

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