CPT coding resource: Lesion excision Level of excision* Anatomic site Skin Subcutaneous Subfascial Radical soft tissue Abdominal wall See 11400–11406, 11600–11606
Briefings on APCs
Page 6
April 2010
CPT coding resource: Lesion excision Level of excision* Anatomic site
Skin
Subcutaneous
Subfascial
Radical soft tissue
Abdominal wall
See 11400–11406, 11600–11606
22902, 22903
22900, 22901
22904, 22905
See 11400–11406, 11600–11606
27618, 27632
27619, 27634
27615, 27616
See 11400–11406, 11600–11606
21930, 21931
21932, 21933
21935, 21936
69145
69145
69150, 69155
24071, 24075
24073, 24076
24077, 24079
67840
67961, 67966
67961, 67966
21011, 21012
21013, 21014
21015, 21016
See 11420–11426, 11620–11626
26111, 26115
26113, 26116
26117, 26118
See 11420–11426, 11620–11626
28039, 28043
28041, 28045
28046, 28047
Ankle or leg
Back or flank
Ears
See 11440–11446, 11640–11646
Elbow or upper arm
Eyelids
See 11400–11406, 11600–11606 See 11440–11446, 11640–11646
Face or scalp
Face: 11440–11446, 11640–11646 Scalp: 11420–11426, 11620–11626
Fingers or hand
Foot or toes
* Level of excision—skin lesion: In the 2010 CPT code book, paragraphical notes above code 11400 and code 11600 state that these codes [11400–11646] classify the “[e]xcision (including simple closure) of benign/malignant lesions of skin. ... Excision is defined as full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure when performed ... Repair by intermediate or complex closure should be reported separately.” * Subcutaneous soft tissue tumors: In the 2010 CPT code book, a paragraphical note above code 20000 states: “Excision of subcutaneous soft tissue tumors (including simple or intermediate repair) involves the simple or marginal resection of tumors confined to the subcutaneous tissue below the skin but above the deep fascia.” * Fascial or subfascial soft tissue tumors: In the 2010 CPT code book, a paragraphical note above code 20000 states: “Excision of fascial or subfascial soft tissue tumors (including simple or intermediate repair) involves the resection of tumors confined to the tissue within or below the deep fascia, but not involving the bone.” * Radical resection of soft tissue tumors: In the 2010 CPT code book, a paragraphical note above code 20000 states: “Radical resection of soft tissue tumors (including simple or intermediate repair) involves the resection of the tumor with wide margins of normal tissue.”
© 2010 HCPro, Inc.
For permission to reproduce part or all of this newsletter for external distribution or use in educational packets, contact the Copyright Clearance Center at www.copyright.com or 978/750-8400.
Briefings on APCs
April 2010
Page 7
Level of excision* Anatomic site
Skin
Subcutaneous
Subfascial
Radical soft tissue
Forearm or wrist
See 11400–11406, 11600–11606
See 25071, 25075
See 25073, 25076
See 25077, 25078
Genitalia
See 11420–11426, 11620–11626
Male: See 54060, 54110, 54111, 54512
Male: See 54060, 54110, 54111, 54512
Male: See 54060, 54110, 54111, 54512
Female: See 56740, 57135
Female: See 56620–56640
Female: See 56620–56640
See 11400–11406, 11600–11606
27043, 27047
27045, 27048
27049, 27059
See 11400–11406, 11600–11606
27327, 27337
27328, 27339
27329, 27364
See 40500–40530
See 40500–40530
See 40500–40530
21552, 21555
21554, 21556
21557, 21558
23071, 23075
23073, 23076
23077, 23078
Hip or pelvis
Knee or thigh
Lips
See 11440–11446, 11640–11646
Neck or anterior thorax
Neck: 11420–11426, 11620–11626 Anterior thorax: 11400–11406, 11600–11606
Shoulder
See 11400–11406, 11600–11606
Source: Lolita M. Jones, RHIA, CCS.
© 2010 HCPro, Inc.
For permission to reproduce part or all of this newsletter for external distribution or use in educational packets, contact the Copyright Clearance Center at www.copyright.com or 978/750-8400.
