Wiki Completely Confused

[Cuteyr]

Hi All,

Could someone help me with coding the following scenario ?

1-
Wide local of basal cell carcinoma of the chest, excise diameter 4 cm

The lesion was raised off of the subcutaneous tissues and the muscle aponeurosis with electrocautery excised, marked, and sent for pathology permanent section.

Dermis and subcutaneous tissues were approximated with 3-0 Vicryl with inverted knot stitches. Skin was approximated with Dermabond.

2-
Two big sebaceous cysts present to the back, one in the mid back almost in the center and one lower into the left, both of them are about 3 cm in size.
both lesions were wedge excised and resected subcutaneously

Deeper tissues were approximated with Vicryl sutures 3-0 and the skin eventually with 5-0 Prolene.

Confusion in both the case is as follows

Both the basal cell carcinoma and sebaceous cysts are skin lesions.
But they are excised subcutaneous level or till muscle aponeurosis.
My question is that should I coded this with 114xx, 116xx series or 2xxxx series.

Please help.........

Thanks

 

[cynthiabrown]

in integumentary system but layered closure

 

[jerseygirl20]

reply

use the 116xx for the basal cell and 114xx for the cysts and include closures with both. If they originate from the skin does not matter how far down they go they are coded from integumentary area. Hope this helps.

 

[Cuteyr]

Thanks

Thank you so much for your replies...