CPT coding resource: Lesion excision - …

1 Page 6 Briefings on APCs April 2010 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 or 978 coding resource : Lesion excisionLevel of excision *Anatomic siteSkinSubcutaneousSubfascialRadical soft tissueAbdominal wallSee11400 11406,11600 1160622902,2290322900,2290122904,22905 Ankle or legSee11400 11406,11600 1160627618,2763227619,2763427615,27616 Back or flankSee11400 11406,11600 1160621930,2193121932,2193321935,21936 EarsSee11440 11446,11640 11646691456914569150,69155 Elbow or upper armSee11400 11406,11600 1160624071,2407524073, 2407624077, 24079 EyelidsSee11440 11446,11640 116466784067961, 6796667961, 67966 Face or scalpFace:11440 11446,11640 11646 Scalp:11420 11426,11620 1162621011,2101221013,2101421015,21016 Fingers or handSee11420 11426,11620 1162626111,2611526113,2611626117,26118 Foot or toesSee11420 11426,11620 1162628039,2804328041,2804528046,28047* 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.

2 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.

3 April 2010 Briefings on APCs Page 7 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 or 978 of excision *Anatomic siteSkinSubcutaneousSubfascialRadical soft tissueForearm or wristSee11400 11406,11600 11606 See25071,25075 See25073,25076 See25077,25078 GenitaliaSee11420 11426,11620 11626 Male:See54060, 54110, 54111,54512 Female:See56740, 57135 Male:See54060, 54110, 54111,54512 Female:See56620 56640 Male:See54060, 54110, 54111,54512 Female:See56620 56640 Hip or pelvisSee11400 11406,11600 1160627043,2704727045,2704827049,27059 Knee or thighSee11400 11406,11600 1160627327,2733727328,2733927329,27364 LipsSee11440 11446,11640 11646 See40500 40530 See40500 40530 See40500 40530 Neck or anterior thoraxNeck:11420 11426,11620 11626 Anterior thorax:11400 11406,11600 1160621552,2155521554,2155621557,21558 ShoulderSee11400 11406,11600 1160623071,2307523073,2307623077,23078 Source: Lolita M.

4 Jones, RHIA, CCS.