tci Outpatient Facility Coding Alert - 2016 Issue 7

Reader Question: Seize the Size to Code the Tumor Right

Question: If the physician documents removal of a tumor from the foot, how should I code for the procedure? Alabama Subscriber Answer: You must check the patient’s records for indications that the mass is musculoskeletal in origin, such as a reference to “soft tissue.” Tumor removal codes fall under the 20000 code series. You must also check for indications of the size of the excised tumor since CPT® provides codes for specific sizes, as follows: 28039 — Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater 28041 — ...

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