Wiki Please help coding Exc.Flank Mass

[Hopp]

Hi - Wondering if someone would help with coding the following: Excision of 6cm deep subcu. right flank mass with layered closure DX: Lipoma (Also, Doc.Wants to bill an office visit with this? Not sure-about that either)
Thanks for your help
Deb, CPC

 

[dmaec]

I'd need a bit more info before being able to help with codes. Need to see the dictation to determine if both can be coded...and what "exactly" was done.

 

[lring]

closure

I would use 21930 and a layered closure from 12031-12057 category (size matters with 214.1. If this is the first time the provider has examined the mass and made the decision on this date to excise it -you can bill the E&M with a -25. Assuming this was all done in the office not in the OR.

Lynn Ring

 

[heathermc]

I would only use 21930. Per the coders desk reference this code includes layer closure with sutures, staples or steri-strips.

 

[mbort]

I agree with Heather, just the 21930. Depth does not matter with this code and as Heather mentioned, it would include the closure.

Mary, CPC, COSC