tci General Surgery Coding Alert - 2015 Issue 11

Reader Question: Let Tumor Type Lead Code Choice

Question: We had a case involving a melanoma re-excision of 11 cm by 3.3 cm (excised diameter) on the patient’s left upper arm. The surgeon removed tissue down to, but not including, the fascia. The defect required an intermediate repair. Should we bill the service using the skin or musculoskeletal codes?  SuperCoder Subscriber Answer: You should code this using the appropriate codes from the CPT® Integumentary Section, such as 11604 (Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm) for the excision, and 12034 (Repair, intermediate, wounds of...

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