Wiki Exision of mass consistent with Neuroma

tviruet

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Hello.

I was asked to review a case regarding:

Right thumb mass consistent with Neuroma. The mass was excised; however, there was no specimin size documented.

Current CPT codes entered are:

11420 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less

64782 - Excision of neuroma; hand or foot, except digital nerve

I agree with code 11420, but I don't agree with 64782. I feel that code 64776, Remove digit nerve lesion 1-2 same digit, is more accurate due to the fact that the mass/neuroma was on the patient's thumb.

Please advise if my hunch is correct.

Thank you
 
Need to see the op note

For an accurate response to surgical coding questions, please post the scrubbed operative / procedure note.

F Tessa Bartels, CPC, CEMC
 
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