tci General Surgery Coding Alert - 2005 Issue 7

Reader Questions: 2 Cysts Means 2 Removal Codes

Question: The surgeon excised two sebaceous cysts off of the patient's back. One cyst was 4.7 cm and the other was 3.3 cm. How should I code this?Texas Subscriber Answer: For the 4.7-cm cyst excision, you should assign 11406 (Excision, benign lesion including margins, except skin tag [unless listed elsewhere], trunk, arms or legs; excised diameter over 4.0 cm). You should report 11404-59 (... excised diameter 3.1. to 4.0 cm; distinct procedural service) for your surgeon's removal of the 3.3-cm cyst.Reporting 11406 and 11404 is correct for three reasons:1. the...

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