grandmacora
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I need a code for a painful subcutaneous tissue lesion, right distal tibia. Thanks for the help.
No do not code as a neoplasm unspecified as the physician does not give this diagnosis and there is no workup performed yet to elicit this diagnosis. You would use Neoplasm unspecified to indicate the physicians diagnosis of tumor. I agree with 709.9 or 729.5 as that fits what is known after examination with no diagnostic workup.I would use 239.2 neoplasm, connective tissue, leg, unspec. (you get the same code if you go with skin, leg, unspec.) I followed the Neoplasm table for subcutaneous tissue lesion.
If they take it off you might get a more definity diagnosis.
The fact that it's painful is just a sign/symptom and would not need to be coded separate.
I hope this helps.