Wiki painful lipomas Medicare

[Alice Marshall]

How would you code excision of multiple painful lipomas. Medicare says they are not covered however patient is experiencing pain to touch especially when lying down on back. I tried 11401 and 11402 214.1 v42.0 (also 782.0 and 586)

 

[mitchellde]

214.1 is the correct code if these are documented as lipomas, but if the excision is due to pain why not use a 338.19 first listed as long as the provider documents acute pain. Is the patient post kidney transplant? unless this is a complicating issue I would not add that code

 

[Lujanwj]

I'd also consider using Musculoskeletal 21930 (depending on size) rather than a skin lesion. Lipomas are usually generated in the Subcu.